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        <!--        <table><P><CENTER>
                 <h1>Overview</h1>
                 <td><tr>
                     <td><a href="#table0">Index</a><br></td>
                     <td><a href="#table1">Abdominal Pain</a><br></td>
                     <td><a href="#table2">Animal Bites</a><br></td>
                     <td><a href="#table3">Asthma</a><br></td>
                     <td><a href="#table4">Back Pain</a><br><td>
                     <td><a href="#table5">Breast Pain (Nursing)</a><br></td>
                     <td><a href="#table6">Burning on Urination</a><br>
                     </td></tr>
                 <td><tr>
                     <td><a href="#table7">Burns</a><br></td>
                     <td><a href="#table8">Chest Pain</a><br></td>
                     <td><a href="#table9">Colds</a><br></td>
                     <td><a href="#table10">Constipation</a><br></td>
                     <td><a href="#table11">Cough</a><br></td>
                     <td><a href="#table12">Diarrhea</a><br></td>
                     <td><a href="#table13">Difficulty Breathing (Peds)</a><br>
                     </td></tr>
                 <td><tr>
   
                 </td><a href="#table14">Earache</a><br></td>
                 <<a href="#table15">Eye Problems</a><br>
                 <a href="#table16">Fainting</a><br>
                 <a href="#table17">Fever</a><br>
                 <a href="#table18">head Injury</a><br>
                 <a href="#table19">headache (Adult)</a><br>
                 <a href="#table20">headache (Peds)</a><br>
                 <a href="#table21">Heat Stroke</a><br>
                 <a href="#table22">Insect Bites</a><br>
                 <a href="#table23">Menstrual Problems</a><br>
                 <a href="#table24">Neck Pain</a><br>
                 <a href="#table25">Nosebleed</a><br>
                 <a href="#table26">Rash (Adult)</a><br>
                 <a href="#table27">Rash (Peds)</a><br>
                 <a href="#table28">Shortness of Breath</a><br>
                 <a href="#table29">Sore Throat</a><br>
                 <a href="#table30">Sprains and Strains</a><br>
                 <a href="#table31">Vaginal Bleeding</a><br>
                 <a href="#table32">Vaginal Discharge</a><br>
                 <a href="#table33">Vomiting</a><br>
                 <a href="#table34">Wheezing</a><br>
                 <a href="#table35">Wound</a><br>
 
             </CENTER></P></td></table>-->
        
        <a name="table0"><h1 style="padding-top: 5px">Sheet 1: <em>Index</em></h1></a>
        <table cellspacing="0" cols="3" border="0">

            <tbody>
                <tr>
                    <td width=80 height=20 align="center" Valign="middle" ><B>System</B></td>
                    <td  width=284 align="center" Valign="middle"><B>Name of the Algorithm</B></td>
                    <td  width=230 align="center" Valign="middle"><B>Variations if any</B></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-blue">General</td>
                    <td  align="left" Valign="middle"><a href="#table2">Animal bites</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"  class="bold-txt light-blue" >General</td>
                    <td  align="left" Valign="middle"><a href="#table7">Burns</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle" class="bold-txt light-blue" >General</td>
                    <td  align="left" Valign="middle"><a href="#table16">Fainting</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle" class="bold-txt light-blue" >General</td>
                    <td  align="left" Valign="middle"><a href="#table17">Fever</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle" class="bold-txt light-blue" >General</td>
                    <td  align="left" Valign="middle"><a href="#table21">Heat Exhaustion and Heat Stroke</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle" class="bold-txt light-blue" >General</td>
                    <td  align="left" Valign="middle"><a href="#table22">Insect bites</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle" class="bold-txt light-blue" >General</td>
                    <td  align="left" Valign="middle"><a href="#table26">Rashes - Adult</a></td>
                    <td  align="left" Valign="middle"><a href="#table27">Rashes - Pediatric</a></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle" class="bold-txt light-blue" >General</td>
                    <td  align="left" Valign="middle"><a href="#table35">Wounds</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-purple" >HEENT</td>
                    <td  align="left" Valign="middle"><a href="#table9">Colds</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-purple" >HEENT</td>
                    <td  align="left" Valign="middle"><a href="#table14">Earache</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-purple" >HEENT</td>
                    <td  align="left" Valign="middle"><a href="#table15">Eye problems</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-purple" >HEENT</td>
                    <td  align="left" Valign="middle"><a href="#table18">head injury</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-purple" >HEENT</td>
                    <td  align="left" Valign="middle"><a href="#table19">headache - Adult</a></td>
                    <td  align="left" Valign="middle"><a href="#table20">headache - Pediatric</a></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-purple" >HEENT</td>
                    <td  align="left" Valign="middle"><a href="#table24">Neck pain</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-purple" >HEENT</td>
                    <td  align="left" Valign="middle"><a href="#table25">Nosebleed</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-purple" >HEENT</td>
                    <td  align="left" Valign="middle"><a href="#table29">Sore throat</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-red" >CVS</td>
                    <td  align="left" Valign="middle"><a href="#table8">Chest pain</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-red" >CVS</td>
                    <td  align="left" Valign="middle"><a href="#table29">Shortness of breath (cardiac)</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-green" >Resp</td>
                    <td  align="left" Valign="middle"><a href="#table3">Asthma</a></td>
                    <td  align="left" Valign="middle"><a href="#table34">Wheezing</a></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-green" >Resp</td>
                    <td  align="left" Valign="middle"><a href="#table11">Cough</a></td>
                    <td  align="left" Valign="middle"><a href="#table13">Difficulty breathing (peds)</a></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-pink" >GIT</td>
                    <td  align="left" Valign="middle"><a href="#table1">Abdominal pain </a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-pink" >GIT</td>
                    <td  align="left" Valign="middle"><a href="#table10">Constipation</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-pink" >GIT</td>
                    <td  align="left" Valign="middle"><a href="#table12">Diarrhea</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-pink" >GIT</td>
                    <td  align="left" Valign="middle"><a href="#table33">Vomiting</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-yellow" >GU</td>
                    <td  align="left" Valign="middle"><a href="#table5">Breast pain in nursing mothers</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-yellow" >GU</td>
                    <td  align="left" Valign="middle"><a href="#table23">Menstrual problems</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-yellow" >GU</td>
                    <td  align="left" Valign="middle"><a href="#tabel7">Burning on urination</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-yellow" >GU</td>
                    <td  align="left" Valign="middle"><a href="#table31">Vaginal bleed </a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-yellow" >GU</td>
                    <td  align="left" Valign="middle"><a href="#table32">Vaginal discharge</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-gray" >MSK</td>
                    <td  align="left" Valign="middle"><a href="#table4">Back pain</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign="middle"class="bold-txt light-gray" >MSK</td>
                    <td  align="left" Valign="middle"><a href="#table30">Sprains and Strains</a></td>
                    <td  align="left" Valign="middle"><br></td>
                </tr>
            </tbody>
        </table>
        <!-- ************************************************************************** -->

        <!--        <a name="table1"><h1>Sheet 2: <em>Abdominal Pain</em></h1></a>-->
        <table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
            <tbody>
                <tr>
                    <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                        <a name="table1"><h1>Sheet 2: <em>Abdominal Pain</em></h1></a>
                    <td class="right">
                        <a href="" style=""><< Back</a>
                    </td>
                </tr>
                <tr>
                    <td  width="555" height="23" align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Abdominal Pain</B></td>
                    <td  width=508 align="left" Valign=TOP ><FONT COLOR="#000000"><br></td>
                    <td class="right"  width=92 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign="middle"><B>Questions</B></td>
                    <td  align="left" Valign=TOP ><B>To See Clinician If……</B></td>
                    <td class="right"  align="left" Valign="middle"><B>When</B></td>

                </tr>
                <tr>
                    <td  height=40 align="left" Valign=TOP >1. Patient’s name, telephone number, age, other identifying information.</td>
                    <td  align="left" Valign="middle">&nbsp;</td>
                    <td class="right"  align="left" Valign="middle">&nbsp;</td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP >2. Age of patient</td>
                    <td  align="left" Valign=TOP >Under 3 years of age</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>

                </tr>
                <tr>
                    <td  height=40 align="left" Valign=TOP >3. If you are older than 50, is there back pain or history of heart attack, or stroke?</td>
                    <td  align="left" Valign=TOP >Yes </td>
                    <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>

                </tr>
                <tr>
                    <td  height=40 align="left" Valign=TOP >4. How severe is the pain? If the patient is a young child, is the child crying continuously? </td>
                    <td  align="left" Valign=TOP >Severe (&gt;7/10), regardless of duration</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FF0000" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP ><br></td>
                    <td  align="left" Valign=TOP >Moderate (4-7/10)</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP >5. Is the pain constant or intermittent?</td>
                    <td  align="left" Valign=TOP >Constant</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FF0000" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP ><br></td>
                    <td  align="left" Valign=TOP >Intermittent</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>

                </tr>
                <tr>
                    <td  height=24 align="left" Valign=TOP >6. Where is the pain located?</td>
                    <td  align="left" Valign=TOP >On right side of abdomen</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FF0000" ><br></td>

                <tr>
                    <td  height=21 align="left" Valign=TOP ><br></td>
                    <td  align="left" Valign=TOP >Anywhere else</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP >7. Was there any injury to the abdomen?</td>
                    <td  align="left" Valign=TOP >Yes</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FF0000" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP ><br></td>
                    <td  align="left" Valign=TOP >No</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#92D050" ><br></td>

                </tr>
                <tr>
                    <td  height=59 align="left" Valign=TOP >8. Is the patient feeling unwell: dizzy, clammy, sweaty or faint? If the patient is a child, is the child fussy, sweaty and lethargic (as opposed to doing normal activity or playing)?</td>
                    <td  align="left" Valign=TOP >Yes to any</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FF0000" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP ><br></td>
                    <td  align="left" Valign=TOP >No</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#92D050" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP >9. Are there any associated symptoms? </td>
                    <td  align="left" Valign=TOP ><br></td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFFFFF" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP >Fever</td>
                    <td  align="left" Valign=TOP ><FONT COLOR="#000000">Over 103 F, or for longer than 24 hours</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FF0000" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP >Vomiting (&gt;3 episodes)</td>
                    <td  align="left" Valign=TOP ><FONT COLOR="#000000">Yes; also look at Vomiting</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP >Constipation (no bowel movements for &gt;3 days)</td>
                    <td  align="left" Valign=TOP ><FONT COLOR="#000000">Yes; also  look at Constipation</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP >Diarrhea</td>
                    <td  align="left" Valign=TOP >Yes; also look at Diarrhea</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP >Difficulty Breathing</td>
                    <td  align="left" Valign=TOP ><FONT COLOR="#000000">Yes; also look at Shortness of Breath</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP >Severe cough or other chest pain?</td>
                    <td  align="left" Valign=TOP >Yes; also look at Chest pain and Cough</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP >Urinary frequency, urgency, blood in urine?</td>
                    <td  align="left" Valign=TOP >Yes; also look at Urinary complaints</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#92D050" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP >Bloody stools; black, tarry stools; rectal bleeding</td>
                    <td  align="left" Valign=TOP >Yes; also look at Diarrhea</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FF0000" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP >10. Is the pain getting betther or worse?</td>
                    <td  align="left" Valign=TOP >Worse</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FF0000" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP ><br></td>
                    <td  align="left" Valign=TOP >Same</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP ><br></td>
                    <td  align="left" Valign=TOP >Getting better - call the patient back in two hours</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#92D050" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP >11. How long has pain been present?</td>
                    <td  align="left" Valign=TOP >More than 48 hours (AND not severe)</td>
                    <td class="right"  align=CENTER Valign="middle"BGCOLOR="#92D050" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP >12. (If the patient is female) Are you pregnant?</td>
                    <td  align="left" Valign=TOP >Yes </td>
                    <td  class="right" align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>

                </tr>
                <tr>
                    <td  height=40 align="left" Valign=TOP >13. (If the patient is female) Is the pain intense and associated with a missed menstrual period?</td>
                    <td  align="left" Valign=TOP >Yes </td>
                    <td   class="right"align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP >14. (If the patient is male) Are your testicles painful?</td>
                    <td  align="left" Valign=TOP >Yes </td>
                    <td  class="right" align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>

                </tr>
                <tr>
                    <td  height=40 align="left" Valign=TOP >15. Have you had kidney stones, gallstones, or sickle cell crisis that has caused similar pain in the past?</td>
                    <td  align="left" Valign=TOP >Yes </td>
                    <td   class="right"align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>

                </tr>
                <tr>
                    <td  height=40 align="left" Valign=TOP >16. Does the patient have any chronic or serious condition (e.g., diabetes, asthma, cystic fibrosis, oral steroid intake)?</td>
                    <td  align="left" Valign=TOP >Yes</td>
                    <td   class="right"align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>

                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP >17. Has the patient been seen in the past for this same complaint?</td>
                    <td  align="left" Valign=TOP >Yes, complaint is chronic.</td>
                    <td   class="right"align=CENTER Valign="middle"BGCOLOR="#92D050" ><br></td>

                </tr>
                <tr>
                    <td  height=40 align="left" Valign=TOP >18. Is the pain intermittent, cramping in nature, and accompanied by nausea and vomiting?</td>
                    <td  align="left" Valign=TOP >Yes. Ask patient to call back if symptoms persist for more than 24 hours. Also refer algorithm for vomiting and nausea</td>
                    <td   class="right"align=CENTER Valign="middle"BGCOLOR="#92D050" ><br></td>

                </tr>
                <tr>
                    <td   height=19 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
                    <td   align="left" Valign=TOP ><FONT COLOR="#000000"><br></td>
                    <td  class="right"  align="left" Valign="middle"><FONT COLOR="#000000"><br></td>

                </tr>
                <tr>
                    <td  height=172 align=CENTER Valign=MIDDLE BGCOLOR="#92D050"  class="bottom"><B>Script for abdominal pain, uncomplicated</B></td>
                    <td  align="left" Valign=TOP  class="bottom">If the symptoms (intermittent, crampy pain with fever less than 101degree F and nausea, followed by vomiting or watery, brown diarrhea) clearly suggest gastroenteritis, patients should drink ample fluids, take paracetamol for fever, and rest. The patient should take clear fluids only such as water, Electral, and homemade ORS. Dairy products should be avoided.<br>Have someone check on the patient every 2 hours - if anything worsens, call back. If the pain does not resolve withim 24 hours, patient should call back.</td>
                    <td  align="left" Valign="middle" class="right bottom"><FONT COLOR="#000000"><br></td>

                </tr>
            </tbody>
        </table>
        <!-- ************************************************************************** -->

        <!--        <a name="table2"><h1>Sheet 3: <em>Animal Bites</em></h1></a>-->
        <table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
            <COLGROUP><COL width=454><COL width=550><COL width=93></COLGROUP>
            <tbody>
                <tr>
                    <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                        <a name="table2"><h1>Sheet 3: <em>Animal Bites</em></h1></a>
                    <td  class="right" >
                        <a href="" style=""><< Back</a>
                    </td>
                </tr>
                <tr>
                    <td  width="555" height="23" align="left" Valign=MIDDLE ><B><FONT SIZE=4 COLOR="#000000">Animal Bites</B></td>
                    <td  width=508 align="left" Valign=TOP ><FONT COLOR="#000000"><br></td>
                    <td    class="right" width=92 align="left" Valign=MIDDLE ><FONT COLOR="#000000"><br></td>
                </tr>
                <tr>
                    <td  height=21 align="left" Valign=MIDDLE ><B>Questions</B></td>
                    <td  align="left" Valign=MIDDLE ><B>To See Clinician If……</B></td>
                    <td  class="right" align="left" Valign=MIDDLE ><B>When</B></td>
                </tr>
                <tr>
                    <td  height=40 align="left" Valign=MIDDLE >1.Patient’s name, telephone number, age, other identifying information   </td>
                    <td  align="left" Valign=MIDDLE ><br></td>
                    <td  class="right" align="left" Valign=MIDDLE ><br></td>
                </tr>
                <tr>
                    <td  height=26 align="left" Valign=MIDDLE >2. What kind of animal bit the child?</td>
                    <td  align="left" Valign=MIDDLE >Household pet - dog, cat<br></td>
                    <td  class="right" align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
                </tr>
                <tr>
                    <td  height=21 align="left" Valign=MIDDLE ><br></td>
                    <td  align="left" Valign=MIDDLE >Stray animal - dog, cat.</td>
                    <td  class="right" align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
                </tr>
                <tr>
                    <td  height=21 align="left" Valign=MIDDLE ><br></td>
                    <td  align="left" Valign=MIDDLE >Wild animal - bat, fox, monkey, rat.</td>
                    <td  class="right" align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
                </tr>
                <tr>
                    <td  height=21 align="left" Valign=MIDDLE >3. What does the wound look like?</td>
                    <td  align="left" Valign=MIDDLE >The skin around the wound is red</td>
                    <td  class="right" align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
                </tr>
                <tr>
                    <td  height=21 align="left" Valign=MIDDLE ><br></td>
                    <td  align="left" Valign=MIDDLE >There is yellow discharge from the wound</td>
                    <td  class="right" align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
                </tr>
                <tr>
                    <td  height=21 align="left" Valign=MIDDLE ><br></td>
                    <td  align="left" Valign=MIDDLE >The wound is not healing</td>
                    <td  class="right" align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
                </tr>
                <tr>
                    <td  height=21 align="left" Valign=MIDDLE >4. How severe is the injury? Where are the bites?</td>
                    <td  align="left" Valign=MIDDLE >Large lacerations</td>
                    <td  class="right" align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
                </tr>
                <tr>
                    <td  height=21 align="left" Valign=MIDDLE ><br></td>
                    <td  align="left" Valign=MIDDLE >Bites that appear infected</td>
                    <td  class="right" align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
                </tr>
                <tr>
                    <td  height=21 align="left" Valign=MIDDLE ><br></td>
                    <td  align="left" Valign=MIDDLE >Lacerations of the face or hand</td>
                    <td  class="right" align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
                </tr>
                <tr>
                    <td  height=21 align="left" Valign=MIDDLE ><br></td>
                    <td  align="left" Valign=MIDDLE >None of the above</td>
                    <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
                </tr>
                <tr>
                    <td  height=40 align="left" Valign=MIDDLE >5. Has the child been immunized for tetanus? How long ago?</td>
                    <td  align="left" Valign=MIDDLE >No. Series incomplete or no shot within 10 years. </td>
                    <td  class="right" align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
                </tr>
                <tr>
                    <td height=20 align="left" Valign=MIDDLE ><br></td>
                    <td align="left" Valign=MIDDLE ><br></td>
                    <td class="right" align="left" Valign=MIDDLE ><br></td>
                </tr>
                <tr>
                    <td  height=96 align=CENTER Valign=MIDDLE BGCOLOR="#FFC000" class="bottom"><B>Script for first aid of all animal bites</B></td>
                    <td  align="left" Valign=TOP class="bottom" >Clean the wound with soap and water for 10 minutes.<br>TT injection to be given.<br>Direct touching of the wound with bare hands to be avoided.<br>Rabies vaccination course to be started as soon as possible and the whole course to be completed (Day 0,3,7,14,28).</td>
                    <td class="right bottom" align="left" Valign=MIDDLE ><B><br></B></td>
                </tr>

            </tbody>
        </table>
        <!-- ************************************************************************** -->

        <!--        <a name="table3"><h1>Sheet 4: <em>Asthma</em></h1></a>-->
        <table frame="void" cellspacing="0" cols="3" rules="none" border="0"class="data-info"  class="data-info">
            <!--            <COLGROUP><COL width=601><COL width=496><COL width=118></COLGROUP>-->
            <tbody>
                <tr>
                    <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                        <a name="table3"><h1>Sheet 4: <em>Asthma</em></h1></a>
                    <td class="right">
                        <a href="" style=""><< Back</a>
                    </td>
                </tr>
                <tr>
                    <td width=601 height="23" align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Asthma</B></td>
                    <td width=496 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
                    <td class="right" width=118 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
                </tr>
                <tr>
                    <td  height=21 align="left" Valign=MIDDLE ><B>Questions</B></td>
                    <td  align="left" Valign=MIDDLE ><B>To See Clinician If……</B></td>
                    <td class="right" align="left" Valign=MIDDLE ><B>When </B></td>
                </tr>
                <tr>
                    <td  height="23" align="left" Valign=TOP >1.Patient’s name, age, other identifying information. </td>
                    <td  align="left" Valign=TOP ><B><FONT SIZE=4 COLOR="#000000"><br></B></td>
                    <td class="right" align="left" Valign=TOP ><B><FONT SIZE=4 COLOR="#000000"><br></B></td>
                </tr>
                <tr>
                    <td  height=40 align="left" Valign=TOP >2. Is the child wheezing, coughing or both? Have you been told in the past that he/she has asthma?</td>
                    <td  align="left" Valign=TOP >If yes, see the following questions.</td>
                    <td class="right" align="left" Valign=TOP ><br></td>
                </tr>
                <tr>
                    <td  height=20 align="left" Valign=TOP ><br></td>
                    <td align="left" Valign="middle"><a href="#Asthma.q9">If no, go to question 9.</a></td>
                    <td class="right" align="left" Valign=TOP ><br></td>
                </tr>
                <tr>
                    <td  ROWSPAN=2 height=37 align="left" Valign=TOP ><3. Is the child having trouble breathing? Has medication been used?</td>
                    <td  ROWSPAN=2 align="left" Valign=TOP >Yes, poor color or lips blue. Struggling and straining to breathe even after medication.</td>
                    <td  class="right" ROWSPAN=2 align=CENTER Valign=TOP BGCOLOR="#FF0000" ><br></td>
                </tr>
                <tr>
                </tr>
                <tr>
                    <td  height=45 align="left" Valign=TOP ><br></td>
                    <td  align="left" Valign=TOP >Yes, child is straining to breathe but not as severely as above. Not responding to usual inhaler medication.</td>
                    <td class="right" align="left" Valign=TOP BGCOLOR="#FF0000" ><FONT COLOR="#000000"><br></td>
                </tr>
                <tr>
                    <td  height=27 align="left" Valign=TOP ><br></td>
                    <td  align="left" Valign=TOP ><a href="#Asthma.q8">If child is not having trouble breathing, go to question 8.</a></td>
                    <td  class="right" align=CENTER Valign=TOP BGCOLOR="#FFC000" ><br></td>
                </tr>
                <tr>
                    <td  height=40 align="left" Valign=TOP >4. If you have a peakflow meter, how does the flow compare with the child’s personal best?</td>
                    <td  align="left" Valign=TOP >Child’s peak flow less than 50% of personal best. </td>
                    <td class="right" align=CENTER Valign=TOP BGCOLOR="#FF0000" ><br></td>
                </tr>
                <tr>
                    <td  height=40 align="left" Valign=TOP >5. Has the child been hospitalized or seen in the emergency room for asthma in the past year?</td>
                    <td  align="left" Valign=TOP >Yes. </td>
                    <td class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><FONT COLOR="#000000"><br></td>
                </tr>
                <tr>
                    <td  height=40 align="left" Valign=TOP >6. Has steroid medication (such as prednisone [Prelone] been prescribed for the child in the past year?</td>
                    <td  align="left" Valign=TOP >Yes. </td>
                    <td class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><FONT COLOR="#000000"><br></td>
                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP >7. How long has the child been coughing?</td>
                    <td  align="left" Valign=TOP >At least 2 to 3 days </td>
                    <td class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><FONT COLOR="#000000"><br></td>
                </tr>
                <tr>
                    <td  height=40 align="left" Valign=TOP ><a name="Asthma.q8">8. Describe the child’s cough.</a></td>
                    <td  align="left" Valign=TOP >No breathing difficulty but persistent cough despite taking bronchodilator.</td>
                    <td class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><FONT COLOR="#000000"><br></td>
                </tr>
                <tr>
                    <td  height=21 align="left" Valign=TOP ><br></td>
                    <td  align="left" Valign=TOP >Cough improves with bronchodilator.</td>
                    <td class="right" align=CENTER Valign=TOP BGCOLOR="#92D050" ><br></td>
                </tr>
                <tr><a a name="Diarrhea_q3"></a>
            <td  height=40 align="left" Valign=TOP ><a name="Asthma.q9">9. Describe the child’s symptoms (in a child not previously diagnosed with asthma).</a></td>
            <td  align="left" Valign=TOP >Child has a cold and it sounds as if there may be wheezing.</td>
            <td class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td height=19 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
            <td align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
            <td class="right" align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=56 align=CENTER Valign=MIDDLE BGCOLOR="#FFC000" ><B>Script for asthma</B></td>
            <td  align="left" Valign="middle"><FONT COLOR="#000000">Asthma in a child can deteriorate rapidly and may need more than an inhaler for treatment, for which you need to go to a hospital or clinic.</td>
            <td class="right" align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=122 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" class="bottom"><B>Script for asthma</B></td>
            <td  align="left" Valign=TOP  class="bottom"><FONT COLOR="#000000" >Your child is responding well to inhalers now. However, the condition may change quickly, and your child may still need to go in to a clinic or hospital.<br>This is the case if the child needs more than two doses of the inhaler medication, or if the symptoms of breathing difficulty worsen or if the child appears to be tired.</td>
            <td class="right bottom" align="left" Valign="middle"><FONT COLOR="#000000"  class="bottom"><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<!--        <a name="table4"><h1>Sheet 5: <em>Back Pain</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=517><COL width=468><COL width=85></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table4"><h1>Sheet 5: <em>Back Pain</em></h1></a>
            <td class="right">
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=517 height="23" align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Back Pain</B></td>
            <td width=468 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
            <td class="right" width=85 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=27 align="left" Valign=TOP ><B>Question </B></td>
            <td  align="left" Valign=TOP ><B>To See Clinician If…..</B></td>
            <td  class="right"  align="left" Valign=TOP ><B>When </B></td>
        </tr>
        <tr>
            <td  height=27 align="left" Valign=TOP >1.Patient’s name, age, telephone number</td>
            <td  align="left" Valign=TOP ><br></td>
            <td  class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=27 align="left" Valign=TOP >2. Age &lt;20 yrs or &gt;55 yrs?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=27 align="left" Valign=TOP >3. Do you have an associated fever?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=27 align="left" Valign=TOP >4. Is your pain constant and not relieved by lying down?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=27 align="left" Valign=TOP >5. When and how did your back pain start?</td>
            <td  align="left" Valign=TOP ><br></td>
            <td  class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=27 align="left" Valign=TOP >6. Are you having problems with passing urine or stool?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=27 align="left" Valign=TOP >7. Do you have weakness or numbness in the legs?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=27 align="left" Valign=TOP >8. Does the pain run down the back of your leg?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >9. Does the patient have any serious or chronic illness(diabetes, steroid therapy, cancer)?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign=TOP ><br></td>
            <td align="left" Valign=TOP ><br></td>
            <td  class="right" align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td   class="bottom" height=286 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for uncomplicated back pain</B></td>
            <td   class="bottom" align="left" Valign=TOP >Avoid prolonged bedrest. Avoid lifting heavy objects. Avoid repetitive bending and twisting. Do gradual gentle stretching exercises. Avoid wearing high heeled shoes.<br>Apply cold compresses for the first two days - no more than 20 minutes, at least 3 times a day. After the second day, you may apply hot compresses for the same duration three times a day.<br>Please take paracetamol 650 mg no more than every 6 hours for pain. If you need more pain relief, call the doctor who will then prescribe a combination pain medicine.<br>Call back immediately if you develop problems with passing urine or stool, numbness or weakness in your legs, or a fever.<br>Most cases of back pain do NOT require an X-ray or a CT scan to be taken.</td>
            <td  class="right bottom" align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<!--        <a name="table5"><h1>Sheet 6: <em>Breast Pain (Nursing)</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=491><COL width=501><COL width=125></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table5"><h1>Sheet 6: <em>Breast Pain (Nursing)</em></h1></a>
            <td   class="right" >
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=491 height=27 align="left" Valign=TOP ><B><FONT SIZE=4 COLOR="#000000">Breast Pain in Nursing Mothers</B></td>
            <td width=501 align="left" Valign=TOP ><br></td>
            <td   class="right" width=125 align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><B>Question </B></td>
            <td  align="left" Valign=TOP ><B>To See Clinician If…..</B></td>
            <td   class="right"  align="left" Valign=TOP ><B>When </B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, age, telephone number. </td>
            <td  align="left" Valign=TOP ><br></td>
            <td   class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >2. Do you have fever or chills?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td   class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >3. Is the breast tender to touch?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td   class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >4. Are the nipples cracked? For how long?</td>
            <td  align="left" Valign=TOP >If &gt; 3 days, and the usual measures have been tried</td>
            <td   class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >5. Do your breasts feel full and hard? For how long?</td>
            <td  align="left" Valign=TOP >If &gt; 3 days, and the usual measures have been tried</td>
            <td   class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >6. Is the baby having trouble nursing? For how long?</td>
            <td  align="left" Valign=TOP >If &gt; 3 days, and the usual measures have been tried</td>
            <td   class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign="middle"><br></td>
            <td align="left" Valign="middle"><br></td>
            <td  class="right"  align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td   class="bottom"  height=304 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for breast complaints while nursing</B></td>
            <td    class="bottom" align="left" Valign=TOP >For sore nipples and breast engorgement - short, frequent feedings with the baby held in different positions to given relief. Ensure that the areola is all the way in the baby's mouth to decrease soreness. Allow cracked nipples to air dry after feeding. Avoid skin irritants, and use a bland ointment.<br>If the ducts are plugged, give the baby frequent feeds, massage the area, use hot packs on it and wear a properly fitted bra. Hot packs should be applied for no more than 20  minutes three times a day, and will help with pain.<br>If there is a suspicion of mastitis, until the patient can be seen in the morning ask the patient to apply hot packs and ensure frequent breast emptying - either through nursing or hand expressing milk if nursing is too painful.<br>Paracetamol can be used for pain relief in all of the above conditions - it is safe to use while breastfeeding. The dose is 650 mg no more than once every 6 hours.</td>
            <td   class="right bottom" align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<!--        <a name="table6"><h1>Sheet 7: <em>Burning on Urination</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width="555"><COL width=563><COL width=76></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table6"><h1>Sheet 7: <em>Burning on Urination</em></h1></a>
            <td  class="right"  >
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width="555" height="23" align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Burning on Urination</B></td>
            <td width=563 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
            <td   class="right"  width=76 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><B>Question </B></td>
            <td  align="left" Valign=TOP ><B>To See Clinician If…..</B></td>
            <td   class="right"   align="left" Valign=TOP ><B>When</B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, age, telephone number</td>
            <td  align="left" Valign=TOP ><br></td>
            <td   class="right"   align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >2. Have you passed any urine in the last 6 hours?</td>
            <td  align="left" Valign=TOP >No</td>
            <td   class="right"   align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >3. Do you have burning or pain on urination? Frequency or urgency of urination?</td>
            <td  align="left" Valign=TOP ><br></td>
            <td   class="right"   align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >4. How long have the symptoms been present? </td>
            <td  align="left" Valign=TOP >If a child, &gt;1 day; if an adult&gt; 3 days</td>
            <td   class="right"   align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >5. Do you have a fever?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td   class="right"   align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >6. Do you have back pain?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td   class="right"   align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >7. Have you had a urinary tract infection in the past year?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td   class="right"   align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >8. Female patient - Do you have a vaginal discharge?</td>
            <td  align="left" Valign=TOP >Yes; also look at Vaginal discharge algorithm</td>
            <td   class="right"   align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >9. Are you nauseated or vomiting?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td   class="right"   align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=59 align="left" Valign=TOP >10. If the symptoms are in a child, does the child have urinary frequency without pain? Does the child have itching around the rectum?</td>
            <td  align="left" Valign=TOP >Yes (likely pinworms).</td>
            <td   class="right"   align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >11. Have you met a doctor for this? Are you on any medication for this already?</td>
            <td  align="left" Valign=TOP >To ensure appropriate medication. </td>
            <td   class="right"   align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >12. Do you have any drug allergies?</td>
            <td  align="left" Valign=TOP >To ensure appropriate medication. </td>
            <td   class="right"   align="left" Valign=TOP BGCOLOR="#FFFFFF" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign=TOP ><br></td>
            <td align="left" Valign=TOP ><br></td>
            <td   class="right"   align="left" Valign=TOP BGCOLOR="#FFFFFF" ><br></td>
        </tr>
        <tr>
            <td  height=59 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for uncomplicated UTI</B></td>
            <td  align="left" Valign=TOP >Drink plenty of fluids.<br>Take 2 teaspoons of Citralka syrup three times a day.<br>Come in to see a doctor the following morning.</td>
            <td   class="right"  align="left" Valign=TOP BGCOLOR="#FFFFFF" ><br></td>
        </tr>
        <tr>
            <td  height=191 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for prevention of UTI</B></td>
            <td  align="left" Valign=TOP >General measures for prevention of UTI:<br>1. Drink plenty of fluids.<br>2. Urinate when you feel the need to, rather than holding it.<br>3. If using toilet paper, always wipe front to back after using the bathroom to avoid infections.<br>4. Void after sexual intercourse. <br>5. Do not use scented products around their genitals - it may cause irritation and predispose to a urine infection.<br>6. Use cotton underwear (doesn't trap moisture and permit bacteria to multiply).</td>
            <td   class="right"  align="left" Valign=TOP BGCOLOR="#FFFFFF" ><br></td>
        </tr>
        <tr>
            <td  height=172 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>How to collect a urine specimen at home</B></td>
            <td  align="left" Valign="middle">Collecting a Proper Urine Specimen at Home:<br>1. Collect a container from the lab to give the specimen.<br>2. If you are a parent helping your child, remove the child’s pants and panties and have the child sit straddling the toilet.<br>3. Wash the genitalia gently with soap and water.<br>4. Using the sterile jar, try to catch the middle of the urine stream if at all possible. Avoid contamination with stool.<br>5. Always refrigerate the specimen immediately. Bring it to the office or lab as quickly as possible, preferably within 2 hours. </td>
            <td   class="right"  align="left" Valign=TOP BGCOLOR="#FFFFFF" ><br></td>
        </tr>
        <tr>
            <td   class="bottom"  height=20 align="left" Valign=TOP ><br></td>
            <td   class="bottom"  align="left" Valign="middle"><br></td>
            <td  class="right bottom"   align="left" Valign=TOP BGCOLOR="#FFFFFF" ><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<!--        <a name="table7"><h1>Sheet 8: <em>Burns</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=494><COL width=604><COL width=87></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table7"><h1>Sheet 8: <em>Burns</em></h1></a>
            <td   class="right"   >
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=494 height="23" align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Burns</B></td>
            <td width=604 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
            <td   class="right"   width=87 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><B>Question </B></td>
            <td  align="left" Valign=TOP ><B>To See Clinician If…..</B></td>
            <td   class="right"    align="left" Valign=TOP ><B>When </B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, age, telephone number </td>
            <td  align="left" Valign=TOP ><br></td>
            <td   class="right"    align="left" Valign=TOP ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >2. Where is the burn?</td>
            <td  align="left" Valign=TOP >Face, hands, feet or perineum </td>
            <td   class="right"    align="left" Valign=TOP BGCOLOR="#FF0000" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >None of the above</td>
            <td   class="right"    align="left" Valign=TOP BGCOLOR="#92D050" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=3 height=63 align="left" Valign=TOP >3. What kind of burn is it?</td>
            <td  align="left" Valign=TOP >Electrical or chemical burn. </td>
            <td   class="right"    align="left" Valign=TOP BGCOLOR="#FF0000" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Chemical</td>
            <td   class="right"    align="left" Valign=TOP BGCOLOR="#FF0000" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Burn from fire with inhalation injury.</td>
            <td   class="right"    align="left" Valign=TOP BGCOLOR="#FF0000" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >None of the above</td>
            <td   class="right"    align="left" Valign=TOP BGCOLOR="#92D050" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >4. How large is the burn area?</td>
            <td  align="left" Valign=TOP >In a child, more than 3 palm size (the child's palm)</td>
            <td    class="right"   align="left" Valign=TOP BGCOLOR="#FF0000" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >In a child, less than 3 palm size (the child's palm) </td>
            <td   class="right"    align=CENTER Valign="middle"BGCOLOR="#FFC000" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >In an adult, more than 20% body surface area (to ask the patient what parts of the body are burnt and then added up by physician)</td>
            <td   class="right"    align=CENTER Valign="middle"BGCOLOR="#FFC000" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >None of the above</td>
            <td   class="right"    align=CENTER Valign="middle"BGCOLOR="#92D050" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >5. What does the burned area look like?</td>
            <td  align="left" Valign="middle">Skin is coming off</td>
            <td   class="right"    align=CENTER Valign="middle"BGCOLOR="#FFC000" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign="middle">Skin looks charred</td>
            <td   class="right"    align=CENTER Valign="middle"BGCOLOR="#FFC000" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign="middle">Blisters in area greater than 2 inches in diameter</td>
            <td   class="right"    align=CENTER Valign="middle"BGCOLOR="#FFC000" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign="middle">None of the above</td>
            <td   class="right"    align=CENTER Valign="middle"BGCOLOR="#92D050" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >6. Does the patient look ill? </td>
            <td  align="left" Valign="middle">Do you have a fever?</td>
            <td   class="right"    align="left" Valign=TOP BGCOLOR="#FF0000" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >Is your skin clammy, moist and cool?</td>
            <td   class="right"    align="left" Valign=TOP BGCOLOR="#FF0000" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP > Do you have palpitations or confusion?</td>
            <td   class="right"    align="left" Valign=TOP BGCOLOR="#FF0000" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >None of the above</td>
            <td   class="right"    align="left" Valign=TOP BGCOLOR="#00B050" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >7. When was your last tetanus shot?</td>
            <td  align="left" Valign=TOP >More than 5 years ago or do not know </td>
            <td   class="right"    align="left" Valign=TOP BGCOLOR="#00B050" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >8. Do you have any other medical conditions (diabetes mellitus or immunocompromised state - steroids, chemo)?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td   class="right"    align=CENTER Valign="middle"BGCOLOR="#FFC000" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >No </td>
            <td   class="right"    align="left" Valign=TOP BGCOLOR="#00B050" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >9. If the burn is not a new event, when did it occur? What made you call now?</td>
            <td  align="left" Valign=TOP >More than 2 days ago and signs of infection (cloudy fluids, foul odor), uncontrolled pain, numbness and tingling, or failure to improve. </td>
            <td   class="right"    align=CENTER Valign="middle"BGCOLOR="#FFC000" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >Routine call or anxiety related</td>
            <td   class="right"    align="left" Valign=TOP BGCOLOR="#00B050" ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign="middle"><B><br></B></td>
            <td align="left" Valign="middle"><br></td>
            <td   class="right"  align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=59 align=CENTER Valign="middle"BGCOLOR="#FFC000" ><B>Script for chemical burn <br><br></B></td>
            <td  align="left" Valign="middle">If it is a chemical burn, remove all contaminated clothing and flush the area thoroughly with cold water.</td>
            <td   class="right"   align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=78 align=CENTER Valign=MIDDLE BGCOLOR="#FFC000" ><B>Script for electrical burn</B></td>
            <td  align="left" Valign="middle">Are you safe from risk of electrical burn yourself? Is the patient safe at present?<br>If not, please turn off the main power switch now and then come back to the phone.</td>
            <td   class="right"   align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td   class="bottom"    height=210 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for thermal burn</B></td>
            <td    class="bottom"   align="left" Valign="middle"><br>Do not put anything on the burn surface, including turmeric. Do not attempt to remove any clothing stuck to the skin.<br>Flush the site with cold tap water for 10 minutes before coming to the office. <br>If the area cannot be immersed, apply a plastic bag with ice covered with a cloth  intermittently for 10 minutes. <br>Paracetamol or ibuprofen may be used for relief of pain. <br>Do not open blisters. No special ointments or creams are usually necessary. The skin may peel in 5 to 7 days. The patient should come into the office if the blister fluid appears cloudy or develops a foul odor.<br></td>
            <td   class="right bottom"    align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<!--        <a name="table8"><h1>Sheet 9: <em>Chest Pain</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=634><COL width=352><COL width=80></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table8"><h1>Sheet 9: <em>Chest Pain</em></h1></a>
            <td  class="right" >
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=634 height=27 align="left" Valign=MIDDLE ><B><FONT SIZE=4 COLOR="#000000">Chest pain</B></td>
            <td width=352 align="left" Valign=MIDDLE ><br></td>
            <td   class="right" width=80 align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td  height="23" align="left" Valign=MIDDLE ><B>Question </B></td>
            <td  align="left" Valign=MIDDLE ><B>To See Clinician If……</B></td>
            <td   class="right"  align="left" Valign=MIDDLE ><B>When </B></td>
        </tr>
        <tr>
            <td  height=31 align="left" Valign=MIDDLE >1.Patient’s name, telephone number, age. </td>
            <td  align="left" Valign=MIDDLE ><br></td>
            <td   class="right"  align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td  height=31 align="left" Valign=MIDDLE >2. Is the patient conscious?</td>
            <td  align="left" Valign=MIDDLE >No</td>
            <td   class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=2 height=43 align="left" Valign=MIDDLE >3. Is there pain now?</td>
            <td  align="left" Valign=MIDDLE ><a href="#Chest Pain.q4">If yes, go to question 4.</a></td>
            <td   class="right"  ROWSPAN=2 align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td   class="right"  align="left" Valign=MIDDLE ><a href="#Chest Pain.q8">If no, go to question 8.</a></td>
        </tr>
        <tr>
            <td  height=44 align="left" Valign=TOP ><a name="Chest Pain.q4">4. Describe your pain - where is it, and what is the character? (Pain in the middle of the chest and crushing, pressing, or radiating to the arm)</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td   class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=26 align="left" Valign=TOP >5. Has the pain been occurring at rest or with minimal exertion?</td>
            <td  align="left" Valign=TOP >Yes.</td>
            <td   class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >6. Is there associated sweating, dyspnea, nausea or dizziness?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td   class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >7. Does nitroglycerin (NTG) relieve the pain?</td>
            <td  align="left" Valign=TOP >Yes.</td>
            <td    class="right" align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><a name="Chest Pain.q8">8. Have there been any recent episodes of fainting or shortness of breath?</a></td>
            <td  align="left" Valign=TOP >Yes to either</td>
            <td   class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >9. Is there a history of coronary artery disease, heart attack, (myocardial infarction), or angina?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td   class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=24 align="left" Valign=TOP >10. If you have had angina before, is this a change in the pattern?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td   class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=153 align="left" Valign=TOP >11. Characterize the pain:<br>A. Does taking a deep breath make the pain worse? Do you have a fever and a cough?<br>B. Does moving the arm reproduce the pain? Do you have neck pain, or numbness or tingling in your arm without chest pain?<br>C. Do antacids relieve the pain? Do you have food coming back up in your throat or acid coming back up your throat?<br>D. Does pressing on the chest reproduce the pain? Is there a history of trauma? </td>
            <td  align="left" Valign=TOP >Yes. </td>
            <td   class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >12. Is there a history of pulmonary embolus, deep venous thrombosis or congestive heart failure?</td>
            <td  align="left" Valign=TOP >Yes. </td>
            <td   class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign=MIDDLE ><br></td>
            <td align="left" Valign=MIDDLE ><br></td>
            <td   class="right" align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td   class="bottom"  height=286 align=CENTER Valign=MIDDLE BGCOLOR="#FF0000" ><B>Script for chest pain (cardiac)</B></td>
            <td    class="bottom" align="left" Valign=TOP >Do not move at all - stay in bed. <br>If having trouble breathing when lying down, prop yourself up with pillows or recline in a chair. <br>Loosen any tight clothing. <br>Keep the front door open and keep the phone line available.<br>If you have aspirin at home, take an aspirin now. <br>If you have nitrates at home, please take one and place it under your tongue so it dissolves quickly.<br>If you have an old ECG or a medical file, please keep it on hand to take to the hospital.</td>
            <td   class="right bottom" align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<!--        <a name="table9"><h1>Sheet 10: <em>Colds</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=589><COL width=470><COL width=71></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table9"><h1>Sheet 10: <em>Colds</em></h1></a>
            <td class="right" >
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td  width=589 height=24 align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Colds</B></td>
            <td  width=470 align="left" Valign=TOP ><FONT COLOR="#000000"><br></td>
            <td  class="right"  width=71 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><B>Questions </B></td>
            <td  align="left" Valign=TOP ><B>To See Clinician If…..</B></td>
            <td  class="right"  align="left" Valign=TOP ><B>When </B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, telephone number, age</td>
            <td  align="left" Valign=TOP ><br></td>
            <td  class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >2. Age &gt; 60 years and in any distress?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >3. How long has the cold been present?</td>
            <td  align="left" Valign=TOP >Longer than 4 days</td>
            <td  class="right"  align=CENTER Valign="middle"BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >4. Are there any other symptoms? </td>
            <td  align="left" Valign=TOP ><br></td>
            <td  class="right"  align="left" Valign=TOP ><FONT SIZE=3 COLOR="#FF0000"><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >A. Do you have a severe headache or stiff neck? Shortness of breath? Fever over 103 F?</td>
            <td  align="left" Valign=TOP ><FONT COLOR="#000000">Yes</td>
            <td  class="right"  align=CENTER Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=59 align="left" Valign=TOP >B. Productive or persistent cough (esp with green or yellow sputum) or chest pain? Fever between 101 and 103 F? If the patient is a child, is the child acting particularly ill, and refusing to play?</td>
            <td  align="left" Valign=TOP ><FONT COLOR="#000000">Yes</td>
            <td  class="right"  align="left" Valign="middle"BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >C. Suspicion of sinus headache or  congestion (pain over the front of the head)? Earache? Sore throat?</td>
            <td  align="left" Valign=TOP ><FONT COLOR="#000000">Yes</td>
            <td  class="right"  align="left" Valign="middle"BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=47 align="left" Valign=TOP >5. Does the patient have any other serious or chronic medical disorder (diabetes, asthma, nephrosis, any lung or heart disease)?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign=TOP ><br></td>
            <td align="left" Valign=TOP ><br></td>
            <td  class="right" align=CENTER Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=214 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for uncomplicated cold and flu</B></td>
            <td   class="bottom" align="left" Valign=TOP >Make sure the patient gets plenty of rest and fluids. <br>For infants and young children, use saline nose drops to loosen secretions and use a suction bulb to clear the nose. <br>For fever or headache, use acetaminophen (Tylenol) or ibuprofen; DO NOT USE ASPIRIN.<br>Children may return to school when there has been no fever for 24 hours and symptoms have improved for the past 24 hours. The same applies to adults returning to work. </td>
            <td  class="right bottom" align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<!--        <a name="table10"><h1>Sheet 11: <em>Constipation</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=547><COL width=500><COL width=64></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table10"><h1>Sheet 11: <em>Constipation</em></h1></a>
            <td class="right">
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=547 height="23" align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Constipation</B></td>
            <td width=500 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
            <td  class="right" width=64 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE ><B>Questions</B></td>
            <td  align="left" Valign=MIDDLE ><B>To See Clinician If……</B></td>
            <td    class="right" align="left" Valign=MIDDLE ><B>When</B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, age, telephone number</td>
            <td  align="left" Valign=TOP ><br></td>
            <td   class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=20 align="left" Valign=TOP >2. When was the last bowel movement?</td>
            <td  align="left" Valign=TOP >More than 4-5 days ago</td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >In the last 3-4 days</td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=78 align="left" Valign=TOP >3. Do you have any other symptoms?<br>A. Nausea, vomiting, severe abdominal pain, no gas, or stool per rectum, blood in the stool<br>B. Severe back pain, with a recent back injury or history of cancer</td>
            <td  align="left" Valign=TOP ><br></td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >4. If the patient is an infant  or young child, is the child constipated while still on breast feeds?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >5. If the patient is a child, does the child strain when having a bowel movement? Are the stools hard?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >6. If a child, does this problem keep recurring? Is there recurring fecal soiling of underwear?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >7. Does the patient have any other medical problems (frail, bedridden, or neurologically impaired - stroke, dementia)?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign=MIDDLE ><br></td>
            <td align="left" Valign=MIDDLE ><br></td>
            <td class="right" align=CENTER Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td    class="bottom" height=153 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for constipation</B></td>
            <td    class="bottom" align="left" Valign=TOP >Increase the fruit and vegetable intake in your child's diet.<br>Encourage regular bowel habits in your child.<br>If your child hasn't had a bowel movement in 2 days, you may use a glycerine suppository (pediatric dose) or <br>cremaffin syrup. Do not use in children below 3 yrs of age. 1 tsp (5 ml)in children between 3-5 years of age, 1.5 tsp (7.5 ml) in children between 5-12 years of age, 2 tsp (10 ml) in children over 12 yrs of age.</td>
            <td class="right bottom" align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<!--        <a name="table11"><h1>Sheet 12: <em>Cough</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=500><COL width=499><COL width=62></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table11"><h1>Sheet 12: <em>Cough</em></h1></a>
            <td class="right">
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=500 height="23" align="left" Valign=MIDDLE ><B><FONT SIZE=4 COLOR="#000000">Cough</B></td>
            <td width=499 align="left" Valign=MIDDLE ><FONT FACE="Arial" COLOR="#000000"><br></td>
            <td  class="right" width=62 align="left" Valign=MIDDLE ><FONT FACE="Arial" COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=26 align="left" Valign=TOP ><B>Question</B></td>
            <td  align="left" Valign=TOP ><B>To See Clinician If…</B></td>
            <td  class="right"   align="left" Valign=TOP ><B>When </B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, age, telephone number </td>
            <td  align="left" Valign=TOP ><br></td>
            <td  class="right"   align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >2. Do you feel short of breath?</td>
            <td  align="left" Valign=TOP >Severely (having difficulty talking)</td>
            <td  class="right"   align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >3. Are you wheezing?</td>
            <td  align="left" Valign=TOP ><a href="#table34">Yes-see Wheezing</a></td>
            <td  class="right"   align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=3 height=63 align="left" Valign=TOP >4. Do you have a fever?</td>
            <td  align="left" Valign=TOP >Very high (above 102.5degree F.</td>
            <td  class="right"   align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >High (101.6F to 102.4F) or moderate (100.0F to 101.5F)</td>
            <td  class="right"   align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Low-grade (below 100degreeF)</td>
            <td  class="right"   align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=3 height=63 align="left" Valign=TOP >5. How long has the cough been present?</td>
            <td  align="left" Valign=TOP >Acute (less than 48 hours).</td>
            <td  class="right"   align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Moderate acute (2 to 14 days)</td>
            <td  class="right"   align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Chronic (more than 2 weeks) </td>
            <td  class="right"   align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=2 height=42 align="left" Valign=TOP >7. Does the cough keep you up at night?</td>
            <td  align="left" Valign=TOP >Frequently (every night). </td>
            <td  class="right"   align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Moderately often (a few nights)</td>
            <td  class="right"   align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >8. Are you raising phlegm or sputum?</td>
            <td  align="left" Valign=TOP >Yes, bloody or yellow, green or brown.</td>
            <td  class="right"   align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >9. Do you have chest pain or tightness?</td>
            <td  align="left" Valign=TOP ><a href="#table8">Yes-See chapter 35, Chest pain.</a></td>
            <td  class="right"   align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=59 align="left" Valign=TOP >10. Do you have other medical conditions (eg. HIV or AIDS, asthma, congestive heart failure, coronary artery disease, diabetes, sinusitis, rhinitis?)</td>
            <td  align="left" Valign=TOP >Yes. </td>
            <td  class="right"   align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td height=21 align="left" Valign=MIDDLE ><B><br></B></td>
            <td align="left" Valign=MIDDLE ><br></td>
            <td  class="right"  align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td  class="bottom" height=153 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for uncomplicated cough</B></td>
            <td  class="bottom" align="left" Valign=MIDDLE >All patients should try to avoid smoke or cold and dry air.<br>Try to maintain hydration by drinking plenty of fluids.<br>If patients are known to have asthma, instruct them to use their inhaler and see if the cough improves.<br>Patients should call back if the cough worsens, fever develops, or the phlegm increases in amount or deepens in color to yellow, green or blood-tinged.The patient should be instructed to call back immediately if shortness of breath develops.</td>
            <td  class="right bottom"  align="left" Valign=MIDDLE ><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<!--        <a name="table12"><h1>Sheet 13: <em>Diarrhea</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <!--            <COLGROUP><COL width=447><COL width=548><COL width=85></COLGROUP>-->
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table12"><h1>Sheet 13: <em>Diarrhea</em></h1></a>
            <td class="right">
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td  width=447 height=24 align="left" Valign=MIDDLE ><B><FONT SIZE=4 COLOR="#000000">Diarrhea</B></td>
            <td  width=548 align="left" Valign=MIDDLE ><br></td>
            <td class="right"  width=85 align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE ><B>Question</B></td>
            <td  align="left" Valign=MIDDLE ><B>To See Clinician If…..</B></td>
            <td class="right"  align="left" Valign=MIDDLE ><B>When </B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >1.Patient’s name, telephone number,age.</td>
            <td  align="left" Valign=MIDDLE ><br></td>
            <td class="right"  align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >2. How long have you had the diarrhea?</td>
            <td  align="left" Valign=MIDDLE ><a href="#Diarrhea_q3">&lt;2 weeks, go to question 3.</a></td>
            <td class="right"  align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td  height=20 align="left" Valign=MIDDLE ><br></td>
            <td  align="left" Valign=MIDDLE ><a href="#Diarrhea_q12">&gt;2 weeks, go to question 12.</a></td>
            <td class="right"  align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td height=21 align="left" Valign=TOP ><a name="Diarrhea_q3"> 3. How many diarrheal stools have there been?</a></td>
            <td  align="left" Valign=TOP >In children &lt; 5 yrs, &gt;3 large watery stools in 12 hours</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height="23" align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >Children &gt;5 yrs and adults, &gt;5 large watery stools in 12 hours</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >4. Is the stool maroon in colour, or is there bright red blood in the stool?</td>
            <td  align="left" Valign=TOP >Yes, if either </td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >5. Do you have black, tarry, foul smelling stools?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >6. Is there vomiting or abdominal pain?</td>
            <td  align="left" Valign=TOP >Yes (either one)</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=130 align="left" Valign=TOP >7. Are there signs of dehydration?<br>Feeling faint<br>Dry mouth and tongue<br>Not passed urine in the last 4 hours<br>Sunken eyes and no tears even when crying<br>If a child, the child is not playing, not moving around</td>
            <td  align="left" Valign=TOP >Yes to any of these</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=MIDDLE >8. Can you take in and keep down significant quantities of fluids?</td>
            <td  align="left" Valign=MIDDLE >No </td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=78 align="left" Valign=TOP >9. Does the patient have other symptoms:<br>Fever over 101 degree F?<br>Breathing fast and hard?<br>Severe constant abdominal pain</td>
            <td  align="left" Valign=TOP >Yes to any of these</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=45 align="left" Valign=TOP >10. Do you have a serious or chronic illness (diabetes, coronary artery disease, cancer, on steroids)?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=59 align="left" Valign=TOP >11. Are taking any medications known to cause diarrhea (eg., laxatives containing magnesium; colchicines, quinidine, antibiotics)?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=44 align="left" Valign=TOP ><a name="Diarrhea_q12">12. If the diarrhea has been present for more than 2 weeks, has it worsened in the past few days?</a></td>
            <td  align="left" Valign=TOP >No.</td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign=TOP ><br></td>
            <td align="left" Valign=TOP ><br></td>
            <td class="right" align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=319 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for diarrhea</B></td>
            <td  class="bottom"  align="left" Valign=TOP >Ensure the patient gets plenty of fluids. Avoid milk, but you can consume plenty of yoghurt. Avoid coffee and alcohol until you recover.<br>Please call back if the patient has any of the above: not moving around and not playing as he/she would normally; mouth and tongue dry; not passing urine every 4 hours; sunken eyes; complaining of abdominal pain or nausea/vomiting.<br>Keep the patient on liquids until 6 hours after the last episode of diarrhea. Progress with BRAT diet (banana, dry rice cereal mixed with water, applesauce, and dry toast) on day 2 after recovery.<br>Breastfed infants should continue breastfeeding but should not receive supplemental formula or other foods. They may be given Electrosol as a supplement if the diarrhea is severe. </td>
            <td class="right bottom" align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<!--        <a name="table13"><h1>Sheet 14: <em>Difficulty Breathing (Peds)</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=556><COL width=457><COL width=80></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table13"><h1>Sheet 14: <em>Difficulty Breathing (Peds)</em></h1></a>
            <td>
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=556 height="23" align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Difficulty Breathing (Peds)</B></td>
            <td width=457 align="left" Valign=TOP ><br></td>
            <td class="right" width=80 align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><B>Questions</B></td>
            <td  align="left" Valign=TOP ><B>To See Clinician If……</B></td>
            <td class="right"  align="left" Valign=TOP ><B>When</B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, telephone number, age</td>
            <td  align="left" Valign=TOP ><br></td>
            <td class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >2. How long has the cough been present?</td>
            <td  align="left" Valign=TOP >Yes, present longer than 3 days </td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >3. Do the child’s lips or skin look, bluish?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >No</td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >4. Is the child drooling or having difficulty swallowing?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >No</td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >5. Has the child choked on something that could have stuck in the throat?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >No</td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >6. Does the child make a loud noise when breathing?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >No</td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >7. Is the child’s chest caving in when breathing?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >No</td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign="middle">8. Are there any of these symptoms: earache, sore throat, fever above 101 degree F?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign="middle">9. Is the child lethargic or not drinking fluids well?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign="middle"><br></td>
            <td  align="left" Valign=TOP >No</td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >10. Does the child have any other serious or chronic illness (diabetes, asthma, any kidney, respiratory, or heart disease)?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign="middle"><br></td>
            <td  align="left" Valign=TOP >No</td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign=TOP ><br></td>
            <td align="left" Valign=TOP ><br></td>
            <td class="right" align=CENTER Valign="middle"><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=115 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for difficulty in breathing</B></td>
            <td  class="bottom"  align="left" Valign=TOP >Relieve child's anxiety by reassuring him/her. This is very important.<br>Give paracetamol or ibuprofen for fever, if present. DO NOT USE ASPIRIN.<br>Call back immediately if any worsening of symptoms occurs or the child is more anxious.</td>
            <td class="right bottom" align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<!--        <a name="table14"><h1>Sheet 15: <em>Earache</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=540><COL width=533><COL width=85></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table14"><h1>Sheet 15: <em>Earache</em></h1></a>
            <td class="right">
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=540 height="23" align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Earache</B></td>
            <td width=533 align="left" Valign="middle"><br></td>
            <td class="right" width=85 align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE ><B>Question </B></td>
            <td  align="left" Valign=MIDDLE ><B>To See Clinician If…..</B></td>
            <td class="right"  align="left" Valign=MIDDLE ><B>When </B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >1.Patient’s name, telephone number, age.</td>
            <td  align="left" Valign=MIDDLE >Per physician’s preference</td>
            <td class="right"  align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=2 height=42 align="left" Valign=MIDDLE >2. Is the ear painful? If yes, how severe is the pain?</td>
            <td  align="left" Valign=MIDDLE >Severe, unrelenting pain (&gt;7/10)</td>
            <td class="right"  align=CENTER Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=MIDDLE >Milder pain or pain relieved by medication (&lt;7/10)</td>
            <td class="right"  align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >3. Has the pain interfered with sleep?</td>
            <td  align="left" Valign=MIDDLE >Yes; if a child, parents and child were up all night.</td>
            <td class="right"  align=CENTER Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE ><br></td>
            <td  align="left" Valign=MIDDLE >Not interfered with sleep</td>
            <td class="right"  align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >4. Is there a discharge of fluid from the ear?</td>
            <td  align="left" Valign=MIDDLE >Yes</td>
            <td class="right"  align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >5. Does the patient have a fever?</td>
            <td  align="left" Valign=MIDDLE >Yes, above 101degree F</td>
            <td class="right"  align=CENTER Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >6. Has the patient been swimming in the last week?</td>
            <td  align="left" Valign=TOP >Yes (possible swimmer’s ear)</td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >7. Has the patient had an injury to the ear?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  align=CENTER Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >8. Does the patient have a live insect in the ear?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >9. Does the patient have plugging, or decreased hearing?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >10. Did the symptoms start after an airplane flight?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign="middle"><br></td>
            <td align="left" Valign="middle"><br></td>
            <td class="right" align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=134 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for earache</B></td>
            <td  class="bottom"  align="left" Valign=MIDDLE >If the pain is severe and unrelenting, give the patient paracetamol or ibuprofen. Paracetamol in an adult is 650 mg no more than once every 6 hours. In a child, the dose is 10mg/kg every 6 hours. Ibuprofen is 400-600 mg every 8 hours, to be taken after food. In a child the dose is 5 mg/kg every 8 hours, to be taken after food.<br>If there is a foreign body or insect in the ear, it needs consultation with an ENT surgeon.</td>
            <td class="right bottom" align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<!--        <a name="table15"><h1>Sheet 16: <em>Eye Problems</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=547><COL width=470><COL width=85></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table15"><h1>Sheet 16: <em>Eye Problem</em></h1></a>
            <td class="right">
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=547 height=24 align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Eye Problems</B></td>
            <td width=470 align="left" Valign="middle"><br></td>
            <td class="right" width=85 align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE ><B>Question</B></td>
            <td  align="left" Valign=MIDDLE ><B>To See Clinician If……</B></td>
            <td class="right"  align="left" Valign=MIDDLE ><B>When</B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >1.Patient’s name, age, telephone number</td>
            <td  align="left" Valign=MIDDLE ><br></td>
            <td class="right"  align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >2. Was the eye injured by either an object or a chemical substance? Did something suddenly get into your eye?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >3. Is the eye or eyelid very painful?</td>
            <td  align="left" Valign=TOP >Yes, the eye</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >Yes, the eyelid</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >4. Have you had this pain before?</td>
            <td  align="left" Valign=TOP >No, new onset or serious recurrent problem. (Urgency depends on history and symptoms)</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >5. Does the eye hurt if you look at a bright light?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >6. In addition to the pain, has the vision decreased?</td>
            <td  align="left" Valign=TOP ><a href="#Eye Problems.q7">Yes (go to question 7)</a></td>
            <td class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=20 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP ><a href="#Eye Problems.q11">No (go to question 11)</a></td>
            <td class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=3 height=63 align="left" Valign=TOP ><a name="Eye Problems.q7">7. Is there anything that looks like a fly or hair floating around inside your eye? If so, how long has it been present?</a></td>
            <td  align="left" Valign=TOP >Yes (all should be seen by an eye specialist):</td>
            <td class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Present less than 1 week</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Present for several weeks, months or years</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=4 height=83 align="left" Valign=TOP >8. Do you see a brief flash of light off to the side when you turn your eye or your head? If so, how long has it been present?</td>
            <td  align="left" Valign=TOP >Yes (all should be seen by an eye specialist):</td>
            <td class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Present less than 1 week </td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Present several weeks</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP > Unchanged for months or years </td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >9. Did it seem as if a shade came down over just one eye, causing the vision to go totally dark for about 5 minutes?</td>
            <td  align="left" Valign=TOP >Yes (suggestive of a TIA)</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >10. Did you see jagged, shimmering, or kaleidoscopic images?</td>
            <td  align="left" Valign=TOP >(If Yes, probably migraine; reassure patient.)</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><a name="Eye Problems.q11">11. Is the white of the eye very red?</a></td>
            <td  align="left" Valign=TOP >Yes </td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >12. Is the eye swollen?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >13. Is there a thick discharge or crust?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >14. Do the eyes itch?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >15. Are there other symptoms (wheezing, fever, earache, redness of skin around the eye)?</td>
            <td  align="left" Valign=TOP >Yes to any of these, especially in a child.</td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >16. Does the patient have a stye or pimple at the base of an eyelash?</td>
            <td  align="left" Valign=TOP >Yes, eyelid is very red, tender, or swollen.</td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=59 align="left" Valign=TOP >17. Do you have: severe nearsightedness? A history of retinal tear or detachment? A history of recent eye or head trauma? A history of eye surgery?</td>
            <td  align="left" Valign=TOP >Yes to any (risk factors for retinal tear or detactment).</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >18. Do you wear contact lenses? If so, is the eye painful?</td>
            <td  align="left" Valign=TOP >Yes.</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=30 align="left" Valign=TOP >19. Are you using prescription eye drops or ointments?</td>
            <td  align="left" Valign=TOP >Yes, but worse anyway</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >20. Do you have a history of heart attack, stroke, or other serious medical problem?</td>
            <td  align="left" Valign=TOP >Yes (note - urgency depends on history and other symptoms, not on this alone). </td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign=TOP ><br></td>
            <td align="left" Valign="middle"><br></td>
            <td class="right" align=CENTER Valign="middle"><br></td>
        </tr>
        <tr>
            <td  height=59 align=CENTER Valign=MIDDLE BGCOLOR="#FF0000" ><B>Script for chemical injury</B></td>
            <td  align="left" Valign=TOP >Rinse the eye thoroughly with tap water for 10 minutes. Hold the eyelids open under a tap or splash water on the eyes. Then go see a doctor immediately.</td>
            <td class="right" align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  height=172 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for eye redness or stye</B></td>
            <td  align="left" Valign=TOP >If the child has a mild cold and the eye has been only faintly red for less than 24 hours, warm washcloth compresses to soothe the eye can be tried for 24 hours. Apply warm compresses for 10 minutes at a time three times a day.<br>Frequent hand washing is recommended to prevent spread to other family members.<br>If the child has a small pimple (stye) on the edge of the eyelid, give warm compresses for 10 minutes 4 times a day and see a doctor in the morning.</td>
            <td class="right" align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=59 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for minor FB sensation</B></td>
            <td  class="bottom"  align="left" Valign="middle">For minor foreign body sensation, over-the-counter artificial tears, ocular lubrication ointment, or both may provide substantial relief.</td>
            <td class="right bottom" align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<a name="table16"><h1>Sheet 17: <em>Fainting</em></h1></a>
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=464><COL width=575><COL width=80></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table16"><h1>Sheet 17: <em>Fainting</em></h1></a>
            <td class="right">
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=464 height=29 align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Fainting</B></td>
            <td width=575 align="left" Valign=TOP ><br></td>
            <td width=80 align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><B>Question </B></td>
            <td  align="left" Valign=TOP ><B>To See Clinician If……</B></td>
            <td class="right"  align="left" Valign=TOP ><B>When </B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, age, telephone number </td>
            <td  align="left" Valign=TOP ><br></td>
            <td class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=2 height=42 align="left" Valign=TOP >2. How long was the patient unconscious?</td>
            <td  align="left" Valign=TOP >Still unconscious - ref advise for recovery position</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Is conscious now</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=3 height=63 align="left" Valign=TOP >3. Did the patient have other symptoms during or after the attack?</td>
            <td  align="left" Valign=TOP >Yes, chest pain</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Yes, numbness and weakness </td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Yes, muscle jerking</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >4. Was the patient injured during the fainting?</td>
            <td  align="left" Valign=TOP >Yes, struck head, can’t stand up, or bleeding</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >5. Does the patient have a heart condition or previous stroke?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >6. Has the patient had similar attacks before?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign=TOP ><br></td>
            <td align="left" Valign=TOP ><br></td>
            <td class="right" align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=96 align=CENTER Valign=MIDDLE BGCOLOR="#FF0000" ><B>Script for when patient is unconscious</B></td>
            <td  class="bottom"  align="left" Valign=TOP >Put the patient on their left side and loosen any tight clothing. Ensure that the neck is straight, and check their breathing.<br>Check the pulse in their neck.<br>Everyone who has had an episode of fainting needs to be evaluated by a physician soon. </td>
            <td class="right bottom" align="left" Valign=TOP ><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<!--        <a name="table17"><h1>Sheet 18: <em>Fever</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=407><COL width=580><COL width=76></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table17"><h1>Sheet 18: <em>Fever</em></h1></a>
            <td class="right">
                <a href="" style=""><< Back</a>
            </td>
        </tr>

        <tr>
            <td width=407 height=24 align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Fever</B></td>
            <td width=580 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
            <td class="right" width=76 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><B>Question</B></td>
            <td  align="left" Valign=TOP ><B>To See Clinician If…..</B></td>
            <td class="right"  align="left" Valign=TOP ><B>When </B></td>
        </tr>
        <tr>
            <td  height="23" align="left" Valign=TOP >1.Patient’s name, telephone number, age</td>
            <td  align="left" Valign=TOP ><B><br></B></td>
            <td class="right"  align="left" Valign=TOP ><B><FONT SIZE=4 COLOR="#000000"><br></B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >How old is the patient? </td>
            <td  align="left" Valign=TOP >Under 3 months, temperature &gt;101.5 F orally. </td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=59 align="left" Valign=TOP >2. How is the patient acting? Is the patient more tired than usual, or not playing as much as normal (young child)?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >No</td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#16FC04" ><br></td>
        </tr>
        <tr>
            <td  height="23" align="left" Valign=TOP >3. Has the patient ever had a convulsion?                                                                                                                                                                                                                                                                                                                                                                                                                             </td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >No</td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#16FC04" ><br></td>
        </tr>
        <tr>
            <td  height=51 align="left" Valign=TOP >4. How long has the fever been present? What is the actual temperature?</td>
            <td  align="left" Valign=TOP >Fever present over 48 hours without explanation or any fever over 103 F orally. </td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >5. Are there any other symptoms?</td>
            <td  align="left" Valign=TOP ><br></td>
            <td class="right"  align="left" Valign=TOP ><FONT SIZE=3><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >Does the patient have a stiff neck or a headache out of proportion to fever?</td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >Does the patient have rapid breathing or difficulty breathing?</td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=24 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >Is there a rash? Are there small red or purplish spots?</td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=24 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >Is the patient feeling faint?</td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=24 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >Does the patient have chest pain?</td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >Urinary burning or frequency? (Ask about amount and type of fluid intake)</td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#16FC04" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign="middle"><br></td>
            <td  align="left" Valign=TOP >Cough, sneezing, sore throat, or earache</td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#16FC04" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >Vomiting, diarrhea, or abdominal pain?</td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=59 align="left" Valign=TOP >6. Any chronic or serious illness (diabetes, cystic fibrosis, asthma, COPD, seizures, kidney disease, heart disease, cancer, etc.)?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align=CENTER Valign="middle"BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >7. Has the patient recently been in contact with someone else who is sick?</td>
            <td  align="left" Valign=TOP >Yes. </td>
            <td class="right"  align=CENTER Valign=TOP BGCOLOR="#16FC04" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign="middle"><br></td>
            <td align="left" Valign="middle"><br></td>
            <td class="right" align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=153 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for uncomplicated fever</B></td>
            <td  class="bottom"  align="left" Valign=TOP >Increase the patient's intake of fluids.<br>Give the patient paracetamol based on the age and weight as below: 10 mg/kg body weight not more frequently than every 6 hours.<br>For relief of fever, give the patient a tepid sponging - use plain water at room temperature. Never use cold water, ice, or alcohol. Sponge the patient for 15-20 minutes, and repeat as required. <br>Call back if symptoms worsen, if additional symptoms develop along with fever, or if fever lasts for longer than 2 days.</td>
            <td class="right bottom " align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<!--        <a name="table18"><h1>Sheet 19: <em>head Injury</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=634><COL width=479><COL width=85></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table18"><h1>Sheet 19: <em>head Injury</em></h1></a>
            <td class="right">
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=634 height="23" align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">head Injury</B></td>
            <td width=479 align="left" Valign="middle"><br></td>
            <td class="right" width=85 align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE ><B>Question </B></td>
            <td  align="left" Valign=MIDDLE ><B>To See Clinician If……</B></td>
            <td class="right"  align="left" Valign=MIDDLE ><B>When </B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >1.Patient’s name, age, telephone number</td>
            <td  align="left" Valign=MIDDLE ><br></td>
            <td class="right"  align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >2. When did the injury occur?</td>
            <td  align="left" Valign=MIDDLE ><br></td>
            <td class="right"  align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td  height=59 align="left" Valign=MIDDLE >3. Did you see the injury? How did it happen? Was there a fall from a height &gt; 10 feet, fall down a flight of stairs, automobile accidents, forceful blows to head/neck?</td>
            <td  align="left" Valign=MIDDLE >Yes to any</td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE ><br></td>
            <td  align="left" Valign=MIDDLE >None of the above</td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >4. Was there a loss of consciousness?</td>
            <td  align="left" Valign=MIDDLE >Yes</td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >5. Has the patient had convulsions?</td>
            <td  align="left" Valign=MIDDLE >Yes</td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >6. Has there been any mental confusion, drowsiness or behavior change?</td>
            <td  align="left" Valign=MIDDLE >Yes</td>
            <td class="right"  align="left" Valign="middle"BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >7. Has the patient been vomiting?</td>
            <td  align="left" Valign=MIDDLE >Yes</td>
            <td class="right"  align="left" Valign="middle"BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >8. Does the patient have a decrease in vision?</td>
            <td  align="left" Valign=MIDDLE >Yes</td>
            <td class="right"  align="left" Valign="middle"BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >9. Does the patient have slurred speech?</td>
            <td  align="left" Valign=MIDDLE >Yes</td>
            <td class="right"  align="left" Valign="middle"BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >10. Has there been any clear or bloody discharge for the nose or ears?</td>
            <td  align="left" Valign=MIDDLE >Yes</td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >11. Does the patient have any bruising behind the ears?</td>
            <td  align="left" Valign=MIDDLE >Yes</td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >12. Does the patient have a headache?</td>
            <td  align="left" Valign=MIDDLE >Yes </td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >13. Has the patient had a stiff neck or fever since the injury?</td>
            <td  align="left" Valign=MIDDLE >Yes </td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >14. Has the patient had a head injury in the past 6 months?</td>
            <td  align="left" Valign=MIDDLE >Yes </td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >15. Were any drugs or alcohol consumed before the injury?</td>
            <td  align="left" Valign=MIDDLE ><br></td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >16. Is the patient taking any heart medication or blood thinners?</td>
            <td  align="left" Valign=MIDDLE >Yes </td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=MIDDLE >17. Is there any evidence of other major injury, such as abdominal pain, or inability to use a limb?</td>
            <td  align="left" Valign=MIDDLE >Yes </td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign="middle"><br></td>
            <td align="left" Valign="middle"><br></td>
            <td class="right" align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=153 align="left" Valign=MIDDLE BGCOLOR="#FFC000" >Script for a head injury after the doctor evaluation; any head injury needs to be evaluated by a doctor quickly.<br>After the evaluation, if the doctor agrees that the patient can be cared for at home, the following applies:</td>
            <td  class="bottom"  align="left" Valign="middle"><br>Napping is permitted, but the person should be awakened after 1 hour and reevaluated to make sure behavior is normal and he or she recognizes the surroundings. <br>Paracetamol can be used for headache or local pain. Ice packs to the head may be used. <br>Food and Fluids can be taken as tolerated. Avoid spicy or high-fat foods.</td>
            <td class="right bottom" align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<!--        <a name="table19"><h1>Sheet 20: <em>headache (Adult)</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=639><COL width=435><COL width=62></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table19"><h1>Sheet 20: <em>headache (Adult)</em></h1></a>
            <td class="right">
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td  width=639 height="23" align="left" Valign=MIDDLE ><B><FONT SIZE=4 COLOR="#000000">headache (Adult)</B></td>
            <td  width=435 align="left" Valign=MIDDLE ><br></td>
            <td class="right"  width=62 align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td  height=24 align="left" Valign=MIDDLE ><B>Question </B></td>
            <td  align="left" Valign=MIDDLE ><B>To See Clinician If……</B></td>
            <td class="right"  align="left" Valign=MIDDLE ><B>When </B></td>
        </tr>
        <tr>
            <td  height=29 align="left" Valign=MIDDLE >1.Patient’s name, age, telephone number </td>
            <td  align="left" Valign=MIDDLE ><br></td>
            <td class="right"  align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td  height=26 align="left" Valign=MIDDLE >2. How severe is the pain? Did it begin suddenly?</td>
            <td  align="left" Valign=MIDDLE >Extreme (worst of life), began suddenly. </td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >3. Do you have a stiff neck and a fever?</td>
            <td  align="left" Valign=MIDDLE >Yes. </td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=20 align="left" Valign=MIDDLE >4. Was there recent head trauma?</td>
            <td  align="left" Valign=MIDDLE >Yes.</td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=MIDDLE >5. Do you have weakness, tingling, numbness, double vision or visual loss, dizziness, inability to speak, mental changes, or loss of consciousness?</td>
            <td  align="left" Valign=MIDDLE >Yes to any. </td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=MIDDLE >6. Are you diabetic? If so, are there symptoms of hypoglycemia? What is your blood sugar right now?</td>
            <td  align="left" Valign=MIDDLE >Yes - take your sugar pills and see if the headache improves; if improved, nothing to do</td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE ><br></td>
            <td  align="left" Valign=MIDDLE >No, these are not symptoms of hypoglycemia</td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=28 align="left" Valign=TOP >7. Do you have nausea, vomiting, tearing, nasal congestion or discharge?</td>
            <td  align="left" Valign=TOP >Suggestive of sinus infection</td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >8. Is the location or pattern of this headache different from past headaches?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=44 align="left" Valign=TOP >9. Have you recently consumed alcohol or drugs? Have you just started taking a new medication?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >10. Woman of childbearing age, date of last menstrual period? Pregnant?</td>
            <td  align="left" Valign=TOP >If in premenstrual part of cycle, migraine?; if pregnancy, eclampsia</td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=25 align="left" Valign=TOP >11. Have you been sleepless or fatigued?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=2 height=43 align="left" Valign=TOP >12. Do you have symptoms of depression, such as weight loss, lethargy, sleep disturbances?</td>
            <td  ROWSPAN=2 align="left" Valign=TOP >Yes </td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign="middle"><br></td>
            <td align="left" Valign="middle"><br></td>
            <td class="right" align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=153 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for headache</B></td>
            <td  class="bottom"  align="left" Valign="middle">For relief of headache, have the patient lie down to rest and place a cold washcloth over the forehead. <br>If the headache persists, give paracetamol 650 mg no more frequently than every 6 hours. <br>If additional symptoms (such as neck stiffness, photophobia, vomiting, vision changes or confuction) develop or the headache is not relieved for 2 days, please call back.</td>
            <td class="right bottom" align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<!--        <a name="table20"><h1>Sheet 21: <em>headache (Peds)</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=579><COL width=423><COL width=85></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table20"><h1>Sheet 21: <em>headache (Peds)</em></h1></a>
            <td class="right">
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=579 height="23" align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">headache (Peds)</B></td>
            <td width=423 align="left" Valign="middle"><br></td>
            <td class="right" width=85 align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE ><B>Question</B></td>
            <td  align="left" Valign=MIDDLE ><B>To See Clinician If…..</B></td>
            <td class="right"  align="left" Valign=MIDDLE ><B>When </B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >1.Patient’s name, telephone number, age </td>
            <td  align="left" Valign=MIDDLE ><br></td>
            <td class="right"  align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=MIDDLE >2. Are there any associated symptoms: vomiting, neck stiffness or pain, blurred vision, altered behaviour or personality, drowsiness?</td>
            <td  align="left" Valign=MIDDLE ><br></td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >4. Are the headaches getting worse or better?</td>
            <td  align="left" Valign=MIDDLE >Becoming more painful or more frequent </td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >5. Are you treating them with any medication? Does it help?</td>
            <td  align="left" Valign=MIDDLE >headaches do not respond to treatment.</td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >6. Has the child had a head injury?</td>
            <td  align="left" Valign=MIDDLE >Yes </td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >8. Does the child seem anxious?</td>
            <td  align="left" Valign=MIDDLE >Yes </td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=MIDDLE >9. Does the child have any other serious or chronic medical disorder, such as allergic rhinitis, diabetes, asthma, previous sinus infection?</td>
            <td  align="left" Valign=MIDDLE >Yes</td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >10. How long have the headaches been occurring?</td>
            <td  align="left" Valign=MIDDLE >More than a month, without any other symptoms</td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE ><br></td>
            <td  align="left" Valign=MIDDLE >Recent onset - less than a week</td>
            <td class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign="middle"><br></td>
            <td align="left" Valign="middle"><br></td>
            <td class="right" align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=96 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for headache</B></td>
            <td  class="bottom"  align="left" Valign="middle">For relief of headache, have the child lie down to rest and place a cold washcloth over the forehead. <br>If the headache persists, give paracetamol by body weight (10mg/kg body weight). DO NOT GIVE ASPIRIN.</td>
            <td class="right bottom" align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<!--        <a name="table21"><h1>Sheet 22: <em>Heat Stroke</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=496><COL width=610><COL width=64></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table21"><h1>Sheet 22: <em>Heat Stroker</em></h1></a>
            <td class="right">
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=496 height="23" align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Heat Exhaustion and Heat Stroke</B></td>
            <td width=610 align="left" Valign="middle"><br></td>
            <td class="right" width=64 align="left" Valign="middle"><br></td>                </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><B>Question </B></td>
            <td  align="left" Valign=TOP ><B>To See Clinician If……</B></td>
            <td class="right"  align="left" Valign=TOP ><B>When </B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, age, telephone number</td>
            <td  align="left" Valign=TOP ><br></td>
            <td class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >2. Did the patient lose consciousness while exposed to a hot environment?</td>
            <td align="left" Valign=TOP >Yes, refer advice  for heat syncope and heat stroke below</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >3. Is the patient's skin hot? What is the patient's temperature?</td>
            <td align="left" Valign=TOP >&gt;103 F; refer advice  for heat syncope and heat stroke below</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=20 align="left" Valign=TOP ><br></td>
            <td align="left" Valign=TOP >101 - 103 F; refer advice for heat exhaustion below</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >4. Does the patient have dizziness or confusion?</td>
            <td align="left" Valign=TOP >Yes; refer advice  for heat syncope and heat stroke below</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >5. Is the patient able to drink and retain fluids?</td>
            <td align="left" Valign=TOP >Yes; refer advice for heat exhaustion below</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=20 align="left" Valign=TOP ><br></td>
            <td align="left" Valign=TOP >No; refer advice  for heat syncope and heat stroke below</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >6. Does the patient have only muscle cramps or pains without any of the above symptoms?</td>
            <td align="left" Valign=TOP >Yes. Refer advice for heat cramps below</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >7. Is the patient &lt; 12 yrs or &gt;65 yrs?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=48 align="left" Valign=TOP >8. Does the patient have any medical problems (such as diabetes, immune compromise, kidney disease, etc)?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >9. Is the patient taking any medications (antibiotics, diuretics, antifungals, etc)?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign=TOP ><br></td>
            <td align="left" Valign=TOP ><br></td>
            <td class="right" align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=153 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>General measures for all heat exposures</B></td>
            <td  align="left" Valign=TOP >The patient should be moved to a cool area and clothing removed to promote heat loss.<br>The person should be mopped with cool water, placed in a tub of cool water, or cold compresses applied to the torso, head, neck, and groin will help cool the victim. A fan should be used to aid in evaporation of the water.<br>If the patient is conscious now, and is not confused, cool water can be given to the patient. Sports drinks are also permissible, but do NOT give alcohol or caffeine.</td>
            <td class="right" align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=150 align=CENTER Valign=MIDDLE BGCOLOR="#FFC000" ><B>Heat syncope and heat stroke</B></td>
            <td  align="left" Valign=TOP >Call for medical help urgently. <br>Like any other faint, the patient should be placed sitting or lying down.<br>The legs should be elevated above the level of the heart.<br>If the patient is conscious now, and is not confused, cool water can be given to the patient.<br>Follow other instructions for heat exposure given above.</td>
            <td class="right" align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=96 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Prevention of heat cramps and heat exhaustion</B></td>
            <td  class="bottom"  align="left" Valign="middle">In order to prevent heat cramps, drink electrolyte solutions such as sports drinks during exercise or eat potassium-rich foods like bananas.<br>Do not exercise or venture out during the hottest part of the day, and drink water on a schedule instead of only when thirsty. <br>Follow other instructions for heat exposure given above.</td>
            <td class="right bottom" align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<a name="table22"><h1>Sheet 23: <em>Insect Bites</em></h1></a>
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width="555"><COL width=490><COL width=80></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table22"><h1>Sheet 23: <em>Insect Bites</em></h1></a>
            <td class="right">
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width="555" height="23" align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Insect Bites and Stings</B></td>
            <td width=490 align="left" Valign="middle"><br></td>
            <td class="right" width=80 align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  height=27 align="left" Valign=TOP ><B>Question</B></td>
            <td  align="left" Valign=TOP ><B>To See Clinician If…..</B></td>
            <td class="right"  align="left" Valign=TOP ><B>When</B></td>
        </tr>
        <tr>
            <td  height=27 align="left" Valign=TOP >1.Patient’s name, telephone number, age. </td>
            <td  align="left" Valign=TOP ><br></td>
            <td class="right" class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=78 align="left" Valign=TOP >2. Is the patient having any difficulty breathing? Does the patient have lightheadedness? Swelling around the eyes? Widespread rash all over the body? Difficulty swallowing? Tingling or sensation of a thickened tongue?</td>
            <td  align="left" Valign=TOP >Yes to any of the questions.</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=27 align="left" Valign=TOP >3. Did you see what bit the patient? </td>
            <td  align="left" Valign=TOP >Spider, scorpion, or centipede.</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >4. Is the area around the bite red, very swollen, or itchy? Has ice been applied? Was an antihistamine given?</td>
            <td  align="left" Valign=TOP >Yes, and ice and intihistamine did not help.</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=52 align="left" Valign=TOP >5. Has the patient had a serious local allergic reaction (local redness and swelling, discolouration) to an insect bite before? </td>
            <td  align="left" Valign=TOP >Yes </td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=59 align="left" Valign=TOP >6. Does the bite look infected (if it has been more than a couple of days after the bite)? Does it look red and swollen, with yellow discharge?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign="middle"><br></td>
            <td align="left" Valign="middle"><br></td>
            <td  class="right"align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  height=96 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for insect bites and stings</B></td>
            <td  align="left" Valign=TOP >Use a cold compress or ice to reduce the swelling.<br>Use an antihistamine for itchiness if needed.<br>If you have any symptoms other than where you had the insect bite, call us back immediately. A doctor needs to evaluate you as soon as possible.</td>
            <td  class="right"align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=78 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for tick removal, if specifically needed</B></td>
            <td  class="bottom"  align="left" Valign=TOP >Cover the tick with nail polish remover or alcohol.<br>Grasp the body of the tick firmly with tweezers and remove the head from the child’s skin by pulling slowly, steadily, and gently. </td>
            <td  class="right bottom"align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<!--        <a name="table23"><h1>Sheet 24: <em>Menstrual Problems</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=537><COL width=472><COL width=64></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table23"><h1>Sheet 24: <em>Menstrual Problems</em></h1></a>
            <td class="right">
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=537 height="23" align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Menstrual Problems</B></td>
            <td width=472 align="left" Valign="middle"><br></td>
            <td  class="right"width=64 align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><B>Question </B></td>
            <td  align="left" Valign=TOP ><B>To See Clinician If……</B></td>
            <td class="right"  align="left" Valign=TOP ><B>When </B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, age, telephone number</td>
            <td  align="left" Valign=TOP ><br></td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height="23" align="left" Valign=TOP >2. Do you have a missed period or do you have pain with your periods?</td>
            <td align="left" Valign="middle">If missed period, go to question 3.</td>
            <td class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td align="left" Valign="middle">If pain with periods, go to question 8.</td>
            <td class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >3. When was your last menstrual period? </td>
            <td  align="left" Valign=TOP >&gt; 3 months ago - refer for amenorrhea</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >4. Is there any chance you could be pregnant?</td>
            <td  align="left" Valign=TOP >Yes - refer script for amenorrhea</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >If over 45 years of age, to evaluate for menopause</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >5. Do you have severe headaches or visual disturbances?</td>
            <td  align="left" Valign=TOP >Yes - evaluate for pituitary disease</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >6. Have you had a significant weight loss related to exercise or dieting?</td>
            <td  align="left" Valign=TOP >Yes - rule out eating disorder</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=22 align="left" Valign=TOP >7. Have you had weight gain, acne, or increased hair growth?</td>
            <td  align="left" Valign=TOP >Yes - evaluate for endocrine abnormalities</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=22 align="left" Valign=TOP >8. Do you have severe pain not relieved by NSAIDs?</td>
            <td  align="left" Valign=TOP >Yes - rule out any other conditions</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >9. Do you have a fever?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign="middle"><br></td>
            <td align="left" Valign="middle"><br></td>
            <td class="right" align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  height=172 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for amenorrhea</B></td>
            <td  align="left" Valign=TOP >All patients with missed periods should perform a home pregnancy test or come in to the clinic to have one performed.<br>If the pregnancy test is positive, the patient will be counselled and if it was a home test, will be asked to come in for an appointment.<br>If the pregnancy test is negative, other causes of amenorrhea should be evaluated.<br></td>
            <td class="right" align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=115 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for dysmenorrhea</B></td>
            <td  class="bottom"  align="left" Valign=TOP >Patients with dysmenorrhea but no symptoms requiring an office visit should be advised to try one or more of the following remedies:<br>Take a warm bath or apply a heating pad to the abdomen. <br>Take an NSAID (ibuprofen, 400 to 800 mg every 6 hours, or naproxen, 275 mg every 8 to 12 hours).</td>
            <td class="right bottom" align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
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<a name="table24"><h1>Sheet 25: <em>Neck Pain</em></h1></a>
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=501><COL width=536><COL width=81></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table24"><h1>Sheet 25: <em>Neck Pain</em></h1></a>
            <td class="right">
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=501 height=32 align="left" Valign=MIDDLE ><B><FONT SIZE=4 COLOR="#000000">Neck Pain</B></td>
            <td width=536 align="left" Valign=MIDDLE ><br></td>
            <td  class="right"width=81 align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE ><B>Question </B></td>
            <td   align="left" Valign=MIDDLE ><B>To See Clinician If……</B></td>
            <td  class="right" align="left" Valign=MIDDLE ><B>When </B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, age, telephone number</td>
            <td  align="left" Valign=TOP ><br></td>
            <td class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=4 height=83 align="left" Valign=TOP >2. Has there been any neck injury or trauma?</td>
            <td  align="left" Valign=TOP >Acute trauma directly to the neck (less than 24 hours) </td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Acute injury - anywhere else with neck pain</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Recent trauma (2 to 14 days)</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Remote trauma (more than 2 weeks </td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=2 height=61 align="left" Valign=TOP >3. How severe is your neck pain?</td>
            <td  align="left" Valign=TOP >Severe - &gt; 7/10 (unable to move neck without pain) </td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Moderate - 4-7/10 (able to move neck, pain only at the extremes of motion)</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=3 height=63 align="left" Valign=TOP >4. Does the pain spread or radiate to other parts of the body?</td>
            <td  align="left" Valign=TOP >Shoulders, arms, or fingers </td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Neck only</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Up and down spine</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height="23" align="left" Valign=TOP >5. Do you have any weakness in your shoulders or arms?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=3 height=63 align="left" Valign=TOP >6. How long have you had neck pain?</td>
            <td  align="left" Valign=TOP >Acute (less than 2 days)</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Recent (2 to 14 days)</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Chronic (more than 2 weeks)</td>
            <td class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign=MIDDLE ><br></td>
            <td align="left" Valign=MIDDLE ><br></td>
            <td class="right" align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=268 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for neck pain</B></td>
            <td  class="bottom"  align="left" Valign=TOP >Avoid positions that stress the neck such as looking above eye level or twisting or bending the neck.<br>Apply ice packs for the first 2 days of pain, for at least 3 times a day for no more than 20 minutes at a time. After the third day, the patient can apply heat packs 3 times a day, again for no more than 20 minutes at a time.<br>Use a neck pillow to reduce neck movement at night. If no neck pillow available, roll up a towel to support the curve of the neck.<br>Use over the counter pain medication like paracetamol 650 mg no more than once every 6 hours. If the pain is severe, consider a combination antiinflammatory, but see a doctor first.</td>
            <td class="right bottom" align="left" Valign=MIDDLE ><br></td>
        </tr>
    </tbody>
</table>
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<a name="table25"><h1>Sheet 26: <em>Nosebleed</em></h1></a>
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    <COLGROUP><COL width=473><COL width=542><COL width=102></COLGROUP>
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            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table25"><h1>Sheet 26: <em>Nosebleed</em></h1></a>
            <td class="right" >
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td  width=473 height=24 align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Nosebleed</B></td>
            <td  width=542 align="left" Valign="middle"><br></td>
            <td  class="right"  width=102 align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><B>Question </B></td>
            <td  align="left" Valign=TOP ><B>To See Clinician If…..</B></td>
            <td  class="right"  align="left" Valign=TOP ><B>When </B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, age, telephone number</td>
            <td  align="left" Valign=TOP ><br></td>
            <td  class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=151 align=CENTER Valign=MIDDLE BGCOLOR="#FFC000" ><B>Immediate advice</B></td>
            <td  align="left" Valign=TOP >Reassure the patient, especially if it is a child. <br>Ask the patient to sit up, lean forward, and have someone apply firm pressure at the soft part of the nose for at least 20 minutes, without removing pressure to check for bleeding. <br>The patient is to breathe through the mouth and not to blow their nose after the pressure has been removed and the bleeding has stopped.</td>
            <td  class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >2. Has the patient had any injury or foreign body in the nose?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >3. Has the patient had a recent sinus infection, sneezing or nose-blowing, or nose-picking?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >4. Are you taking blood-thinning medicine (Coumadin or long-acting IM heparin)?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >5. Do you have a history of bleeding problems or does anyone else in the family have difficulty with clotting?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=2 height=42 align="left" Valign=TOP >6. How long has the bleeding been going on?</td>
            <td  align="left" Valign=TOP >More than 30 minutes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Less than 30 minutes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign="middle">7. Is there bleeding from any other source (from gums, in the urine or stools, excessive bruising)?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=59 align="left" Valign="middle">8. Does the patient have any serious or chronic medical problem (diabetes, asthma, kidney, respiratory or heart disease)?</td>
            <td  class="bottom"  align="left" Valign=TOP >Yes</td>
            <td  class="right bottom"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
    </tbody>
</table>
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<!--        <a name="table26"><h1>Sheet 27: <em>Rash (Adult)</em></h1></a>-->
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    <COLGROUP><COL width=425><COL width=659><COL width=80></COLGROUP>
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            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table26"><h1>Sheet 27: <em>Rash (Adult)</em></h1></a>
            <td class="right">
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td  width=425 height="23" align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Rash (Adult)</B></td>
            <td  width=659 align="left" Valign="middle"><br></td>
            <td  class="right" width=80 align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><B>Question </B></td>
            <td  align="left" Valign=TOP ><B>To See Clinician If…..</B></td>
            <td  class="right" align="left" Valign=TOP ><B>When</B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, age, telephone number </td>
            <td  align="left" Valign=TOP ><br></td>
            <td  class="right" align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=3 height=100 align="left" Valign=TOP >2. What does the rash look like?</td>
            <td  align="left" Valign=TOP >Generalized petechiae (small, purplish hemorrphagic spots) or other hemorrhagic eruptions.</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Generalized itchy, raised red spots, (hives, urticaria; see Chapter 31, Allergic Reactions and Anaphylaxis).</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Localized eruption consisting of both raised and flat red spots.</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >3. Where is the rash?</td>
            <td  align="left" Valign=TOP >Rash threatens essential organs (eye, mouth, ear)</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >4. Do you have a fever? Do you have difficulty breathing?</td>
            <td  align="left" Valign=TOP >Yes, above 101degree F</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >5. Do you have any other aches or pains?</td>
            <td  align="left" Valign=TOP ><br></td>
            <td  class="right" align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >Neck, eye</td>
            <td  align="left" Valign=TOP >headache, stiff neck, or avoidance of bright light (meningismus).</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >Joints, chest, etc </td>
            <td  align="left" Valign=TOP >Joint and muscle pain. </td>
            <td  class="right" align="left" Valign="middle"BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=2 height=42 align="left" Valign=TOP >6. Have you been exposed to unusual animals, chemicals or plants or traveled recently?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >No</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >7. Do you have any other medical problems?</td>
            <td  align="left" Valign=TOP >Immunocompromised condition: pregnancy, AIDS, cancer, etc </td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >8. Are you taking any new drugs, either prescribed or over the counter?</td>
            <td  align="left" Valign=TOP >Yes. </td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >9. Have you had close contact with anyone who has been diagnosed with lice or scabies?</td>
            <td  align="left" Valign=TOP >Yes; needs to come in for pubic (crab) lice or scabies, home treatment advice for head lice.</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td   height=20 align="left" Valign=TOP ><br></td>
            <td align="left" Valign=TOP ><br></td>
            <td  class="right" align="left" Valign=TOP ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=134 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for head lice</B></td>
            <td  align="left" Valign=TOP >Reassure the parent of the child with head lice.<br>Treatment can be with a louse-killing shampoo such as Mediker.<br>This can also be combined with removal of nits - physically removing nits and lice with a fine-toothed comb.<br>Ensure that clothing is also cleaned in hot water to ensure that lice and nits are killed. Also ensure treatment of contacts.<br></td>
            <td class="right" align="left" Valign=TOP ><FONT FACE="Times New Roman" SIZE=3 COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=115 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for pubic lice</B></td>
            <td  align="left" Valign="middle">Treatment can be with a louse-killing shampoo such as Mediker.<br>Ensure that clothing is also cleaned in hot water to ensure that lice and nits are killed. <br>Also ensure treatment of all sexual contacts and counsel the patient.<br>Ask the patient to come in to the clinic for evaluation for other sexually transmitted diseases.</td>
            <td  class="right" align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=59 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for scabies</B></td>
            <td  class="bottom"  align="left" Valign=TOP >For scabies, ask the patient to come in to the clinic the next day.<br>Same clothing and contact precautions as lice.<br>Itching can persist for upto two weeks after successful treatment.</td>
            <td  class="right bottom" align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
        </tr>
    </tbody>
</table>
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<!--        <a name="table27"><h1>Sheet 28: <em>Rash (Peds)</em></h1></a>-->
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    <COLGROUP><COL width=467><COL width=560><COL width=83></COLGROUP>
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            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table27"><h1>Sheet 28: <em>Rash (Peds)</em></h1></a>
            <td class="right">
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=467 height="23" align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Rash (Peds)</B></td>
            <td width=560 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
            <td  class="right" width=83 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><B>Question </B></td>
            <td  align="left" Valign=TOP ><B>To See Clinician If…..</B></td>
            <td  class="right" align="left" Valign=TOP ><B>When </B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, telephone number, age </td>
            <td  align="left" Valign=TOP ><br></td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >2. What is the distribution of the rash?</td>
            <td  align="left" Valign=TOP >Localised;suggestive of diaper rash - see advice below</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >Localised; suggestive of impetigo (crusted, oozing lesions esp near nostrils)</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >Generalised; mainly on trunk or mainly on the peripheries</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >3. Any other systemic symptoms:<br>Fever? Sore throat? Earache? </td>
            <td  align="left" Valign=TOP >Yes, any of these</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >4. Is there difficulty breathing?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >5. Any reason to suspect measles or chicken pox, without any complications or systemic symptoms?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td height=32 align="left" Valign=TOP ><br></td>
            <td align="left" Valign=TOP ><br></td>
            <td  class="right" align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=78 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for diaper rash</B></td>
            <td  align="left" Valign=TOP >Bathe the child with warm water and dry thoroughly with a towel.<br>Leave the diaper area exposed to air for prolonged periods (half an hour to an hour minimum) during the day.<br>Change diapers frequently. Use vaseline after each cleaning.</td>
            <td  class="right" align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=78 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for uncomplicated chicken pox</B></td>
            <td  class="bottom"  align="left" Valign=TOP >Use paracetamol for fever and discomfort. Do NOT give aspirin.<br>Cut the child's fingernails as short as possible, and wrap with cloth at night to prevent scratching during sleep.<br>Use antihistamines for itching.</td>
            <td  class="right bottom" align="left" Valign=TOP ><br></td>
        </tr>
    </tbody>
</table>
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<!--        <a name="table28"><h1>Sheet 29: <em>Shortness of Breath</em></h1></a>-->
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            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table28"><h1>Sheet 29: <em>Shortness of Breath</em></h1></a>
            <td class="right">
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td class="right" COLSPAN=3 width=1114 height=24 align="left" Valign=MIDDLE ><B><FONT SIZE=4 COLOR="#000000">Shortness of breath (cardiac)</B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, age, telephone number</td>
            <td  align="left" Valign=TOP ><br></td>
            <td  class="right" align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=2 height=61 align="left" Valign=TOP >2. Are you comfortable with simple conversation? </td>
            <td  align="left" Valign=TOP >Uncomfortable (unable to complete sentences).</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Somewhat uncomfortable (able to complete sentences but feeling short of breath).</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=3 height=63 align="left" Valign=TOP >3. How quickly do you feel that your shortness of breath is worsening?</td>
            <td  align="left" Valign=TOP >Rapidly worsening (over the last 12 hours or less)</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Worsening (over the last 24 hours).</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Slowly worsening (over the last 2 to 4 days)</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=2 height=42 align="left" Valign=TOP >4. How long have you been short of breath? </td>
            <td  align="left" Valign=TOP >Less than 3 days. </td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >More than 3 days</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=3 height=63 align="left" Valign=TOP >5. Does your shortness of breath come and go?</td>
            <td  align="left" Valign=TOP >No, constant symptoms.</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Frequent symptoms (1 to 2 times a week)</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Occasional (1 to 2 times per month)</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=3 height=107 align="left" Valign=TOP >6. How much is your daily activity level affected by the shortness of breath?</td>
            <td  align="left" Valign=TOP >Significantly affected (not able to do now what I am usually comfortable doing). </td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Moderately affected (able to do a majority of activities that I am usually comfortable doing). </td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Slightly affected (able to do certain activities only with extreme exertion).</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=78 align="left" Valign=TOP >7. Do you get short of breath when you lie down on your back? Do you need more than one pillow when you lie down, or do you need to sit up to feel less breathless?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >8. Do you have a fever over 101.5 F?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign=MIDDLE ><B><br></B></td>
            <td align="left" Valign="middle"><br></td>
            <td class="right" align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=153 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for shortness of breath</B></td>
            <td  class="bottom"  align="left" Valign="middle">Do you have a heart condition? Have you been prescribed nitrates? If you have a strip of nitrates, put one tablet under your tongue now. If your symptoms haven't improved within ten minutes, take another tablet and give us a call immediately.<br>Do you have asthma? Have you been prescribed an inhaler? If you have a short acting medicine, please take 2 puffs now. If your symptoms have not improved in thirty minutes, take 2 more puffs and give us a call immediately after.</td>
            <td class="right bottom" align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
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<!--        <a name="table29"><h1>Sheet 30: <em>Sore Throat</em></h1></a>-->
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    <COLGROUP><COL width=573><COL width=442><COL width=85></COLGROUP>
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            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table29"><h1>Sheet 30: <em>Sore Throat</em></h1></a>
            <td class="right">
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=573 height=24 align="left" Valign=MIDDLE ><B><FONT SIZE=4 COLOR="#000000">Sore Throat</B></td>
            <td width=442 align="left" Valign=MIDDLE ><br></td>
            <td class="right" width=85 align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE ><B>Question</B></td>
            <td  align="left" Valign=MIDDLE ><B>To See Clinician If…..</B></td>
            <td class="right"   align="left" Valign=MIDDLE ><B>When</B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >1.Patient’s name, age, telephone number</td>
            <td  align="left" Valign=MIDDLE ><br></td>
            <td  class="right"  align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >2. Do you have a temperature of more than 101 degree F?</td>
            <td  align="left" Valign=MIDDLE >Yes </td>
            <td  class="right"   align="left" Valign=MIDDLE BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >3. Do you have a swelling behind or under your chin? </td>
            <td  align="left" Valign=MIDDLE >Yes </td>
            <td  class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >4. Do you have a rash, a headache, or stomach ache?</td>
            <td  align="left" Valign=MIDDLE >Yes</td>
            <td  class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >5. Do you have a swelling or pain in your neck or stiffness of your neck?</td>
            <td  align="left" Valign=MIDDLE >Yes </td>
            <td  class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >6. Do you have difficulty in swallowing, even saliva?</td>
            <td  align="left" Valign=MIDDLE >Yes</td>
            <td  class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >7. Do you have difficulty breathing?</td>
            <td  align="left" Valign=MIDDLE >Yes; also refer to dyspnea</td>
            <td  class="right"  align="left" Valign="middle"BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >8. Has your voice changed?</td>
            <td  align="left" Valign=MIDDLE >Yes </td>
            <td  class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=MIDDLE >9. Do you have any serious or chronic illness (diabetes, asthma, kidney disease, heart disease)?</td>
            <td  align="left" Valign=MIDDLE >Yes</td>
            <td  class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >10. Have you been taking any medication for your sore throat? </td>
            <td  align="left" Valign=MIDDLE >If yes, what?</td>
            <td  class="right"  align="left" Valign=MIDDLE BGCOLOR="#FFFFFF" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign="middle"><br></td>
            <td align="left" Valign="middle"><br></td>
            <td class="right"  align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td   class="bottom" height=191 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for sore throat</B></td>
            <td  class="bottom"  align="left" Valign=TOP >Please gargle with warm water and antiseptic (Listerine) or disprin or salt, at least three times a day. <br>Rest your voice as much as possible and avoid liquids at extremes of temperatures and spicy food.<br>Take paracetamol 10mg/kg body weight, given no more than once every 6 hours for throat pain and fever.<br>Call back urgently if you develop a swelling under or behind your chin, difficulty with swallowing your saliva, or difficulty breathing.<br></td>
            <td class="right bottom"  align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
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<!--        <a name="table30"><h1>Sheet 31: <em>Sprains and Strains</em></h1></a>-->
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    <COLGROUP><COL width=560><COL width=522><COL width=94></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table30"><h1>Sheet 31: <em>Sprains and Strains</em></h1></a>
            <td class="right" >
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=560 height=32 align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Sprains and Strains</B></td>
            <td width=522 align="left" Valign="middle"><br></td>
            <td  class="right" width=94 align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><B>Question </B></td>
            <td  align="left" Valign=TOP ><B>To See Doctor If….</B></td>
            <td  class="right"  align="left" Valign=TOP ><B>When</B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, age, telephone number</td>
            <td  align="left" Valign=TOP ><br></td>
            <td  class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >2. Are you alert and breathing normally?</td>
            <td  align="left" Valign=TOP >No </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >3. Are you able to stand?</td>
            <td  align="left" Valign=TOP >No </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=59 align="left" Valign=TOP >4. If the injury involves the extremities, please ask:<br>Can you feel your fingers/toes (as applicable)? Are your fingers or toes cold?</td>
            <td  align="left" Valign=TOP >No </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >4. Do you have a lot of pain with weight bearing?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >5. Is the injured part swollen or bent in an unusual shape?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >6. Is there joint swelling?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >7. Is there a fever?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >7. Is movement of the joint very painful?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >8. Is pain only present with certain types of movements?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >9. Is the only problem swelling and tenderness to touch?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign=TOP ><br></td>
            <td align="left" Valign=TOP ><br></td>
            <td  class="right" align="left" Valign=TOP BGCOLOR="#FFFFFF" ><br></td>
        </tr>
        <tr>
            <td  height=21 align=CENTER Valign=MIDDLE BGCOLOR="#FFC000" ><B>Script for sprains and strains</B></td>
            <td  align="left" Valign=TOP >Rest and ice the affected area until you can see a doctor</td>
            <td  class="right" align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=134 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for sprains and strains</B></td>
            <td   class="bottom" align="left" Valign="middle">Tell the patient to follow the RICE protocol:<br>Rest the injured part as much as possible.<br>Ice the affected area - apply a cold or ice compress for 20 minutes at a time three to four times a day.<br>Compression - Use a crepe bandage to reduce movement at the joint if it is a sprain.<br>Elevate the affected area if possible.</td>
            <td  class="right bottom"  align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
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<!--        <a name="table31"><h1>Sheet 32: <em>Vaginal Bleeding</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=601><COL width=546><COL width=64></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table31"><h1>Sheet 32: <em>Vaginal Bleeding</em></h1></a>
            <td class="right" >
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=601 height="23" align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Vaginal Bleeding</B></td>
            <td width=546 align="left" Valign="middle"><br></td>
            <td  class="right" width=64 align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><B>Question</B></td>
            <td  align="left" Valign=TOP ><B>To See Clinician If……</B></td>
            <td  class="right"  align="left" Valign=TOP ><B>When </B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, age, telephone number</td>
            <td  align="left" Valign=TOP ><br></td>
            <td  class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=48 align="left" Valign=TOP >2. When did your bleeding begin? When was your last menstrual period?</td>
            <td align="left" Valign="middle"><a href="#Vaginal Bleeding.q7">If patient who had been menstruating is late for her period, see question 7.</a></td>
            <td  class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >3. Do you feel faint, lightheaded, or unsteady when you stand?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >4. Are you passing bright red blood requiring &gt;1 pad an hour?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >5. Are you passing clots?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >6. Is the bleeding associated with pain?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP ><a name="Vaginal Bleeding.q7">7. Are you pregnant? If not certain, are you sexually active and not using a reliable method of birth control? </a></td>
            <td  align="left" Valign=TOP >Yes. If not certain, obtain pregnancy test and see same day if positive.</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >8. Is the bleeding in excess of your normal menstrual flow?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >9. Have you experienced menopause?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign=TOP ><br></td>
            <td align="left" Valign="middle"><br></td>
            <td  class="right" align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  height=96 align=CENTER Valign=MIDDLE BGCOLOR="#FFC000" ><B>Script for feeling faint</B></td>
            <td  align="left" Valign="middle">Until the ambulance arrives, the patient who feels lightheaded or faint should:<br>Lie down on her back, elevate feet higher than her head.<br>Loosen belt, collar or any other tight clothing.<br>Call for help if there is no one else by her side already.</td>
            <td class="right"  align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  height=96 align=CENTER Valign=MIDDLE BGCOLOR="#FFC000" ><B>Script for pregnancy related bleeding</B></td>
            <td  align="left" Valign="middle">Make sure that the patient understands that pregnancy-related causes of vaginal bleeding require urgent attention, so it is important to find out whether she is pregnant. The results of a properly performed home pregnancy test are helpful, especially if she is more than 1 week late for her period. </td>
            <td  class="right" align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td   class="bottom" height=96 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for heavy periods</B></td>
            <td  class="bottom"  align="left" Valign="middle">It is useful to assess the amount of bleeding, so the patient should keep track of how many pads or tampons are used (although such assessments are often unreliable). Abnormally heavy menstrual bleeding is usually defined as bleeding that requires more than 10 to 15 pads or tampons per period.</td>
            <td  class="right bottom" align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
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<!--        <a name="table32"><h1>Sheet 33: <em>Vaginal Discharge</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=598><COL width=510><COL width=85></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table32"><h1>Sheet 33: <em>Vaginal Discharge</em></h1></a>
            <td class="right" >
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td  class="right" COLSPAN=3 width=1194 height=24 align="left" Valign=MIDDLE ><B><FONT SIZE=4 COLOR="#000000">Vaginal Discharge</B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><B>Question</B></td>
            <td  align="left" Valign=TOP ><B>To See Clinician If…..</B></td>
            <td  class="right"  align="left" Valign=TOP ><B>When</B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, age, telephone number</td>
            <td  align="left" Valign=TOP ><br></td>
            <td  class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >2. Do you have burning or frequency of urination?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >3. Do you have a fever, nausea, or abdominal pain?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >4. Is there blood in the discharge (if not having menstrual period)?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=3 height=100 align="left" Valign=TOP >5. What is the discharge like? Does it have an odor? Is there itching and discomfort?</td>
            <td  align="left" Valign=TOP >Discharge is thick and white with little or no odor. Patient is very uncomfortable. Likely yeast.</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Discharge is thick and white with little or no odor. Minimal discomfort. Likely mixed infection</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Discharge is thin, with bad odor. Likely trichomonas.</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >7. Is there any chance that you could be pregnant?</td>
            <td  align="left" Valign=TOP >Yes (and No to questions 2,3 and 4)</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >8. Are you taking steroids or oral contraceptives?</td>
            <td  align="left" Valign=TOP >Yes - may need a longer course of treatment</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >9. Have you had very similar symptoms before, &gt; 1 month ago?</td>
            <td  align="left" Valign=TOP >Yes - OTC medication can be tried</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign=TOP ><br></td>
            <td align="left" Valign=TOP ><br></td>
            <td  class="right" align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td   class="bottom" height=115 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for uncomplicated vaginal discharge</B></td>
            <td  class="bottom"  align="left" Valign=TOP >Most vaginal discharge will require examination before treatment, and may need a swab for diagnosis.<br>Treatment usually consists of a cream or suppositories, and in some cases oral antibiotics.<br>Any fever or abdominal pain that develops requires a call back to the clinic immediately.</td>
            <td class="right bottom"  align="left" Valign=TOP ><br></td>
        </tr>
    </tbody>
</table>
<!-- ************************************************************************** -->

<!--        <a name="table33"><h1>Sheet 34: <em>Vomiting</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=565><COL width=518><COL width=85></COLGROUP>
    <tbody>
        <tr>
            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table33"><h1>Sheet 34: <em>Vomiting</em></h1></a>
            <td class="right" >
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td  class="right"  COLSPAN=3 width=1168 height=28 align="left" Valign=MIDDLE ><B><FONT SIZE=4 COLOR="#000000">Vomiting</B></td>
        </tr>
        <tr>
            <td  height="23" align="left" Valign=MIDDLE ><B>Question </B></td>
            <td  align="left" Valign=MIDDLE ><B>To See Clinician If……</B></td>
            <td  class="right"  align="left" Valign=MIDDLE ><B>When </B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE >1.Patient’s name, age, telephone number </td>
            <td  align="left" Valign=MIDDLE ><br></td>
            <td  class="right"  align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >2. How many times have you vomited over the last 24 hours?</td>
            <td  align="left" Valign=TOP >Greater than 6 times</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >3. What did the vomit contents look like?</td>
            <td  align="left" Valign=TOP >Blood, black, or “coffee grounds.”</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >Has the patient had any exposure to a poisonous substance?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >4. Does the patient have any symptoms other than vomiting:</td>
            <td  align="left" Valign=TOP ><br></td>
            <td  class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >Do you have abdominal pain?</td>
            <td  align="left" Valign=TOP >Severe pain, bending over with discomfort</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >Do you have a fever &gt; 101 F?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >Do you have a headache or neck stiffness?</td>
            <td  align="left" Valign=TOP >Worst headache of the patient's life, sensitivity to light</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >Did you hit your head prior to vomiting? Did you lose consciousness?</td>
            <td  align="left" Valign=TOP >Yes to any</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >Do you have severe diarrhea (more than 6 episodes of loose stools total, or more than 3 episodes in the last hour)?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >Do you have pain or burning on urination? </td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >Do you have a earache, cold or sore throat (esp in a child)?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >Have you been told that you have gallstones?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >Is your skin yellow?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=134 align="left" Valign=TOP >5. Do you have any signs of dehydration: <br>Is your head spinning or are you losing your balance?<br>Do you have trouble thinking or concentrating?<br>Is your breathing hard or fast?<br>Have you been unable to keep down liquids for the last 24 hours? <br>Is your urine dark yellow or have you not been passing any urine for the last 6 hours?</td>
            <td  align="left" Valign=TOP >Yes to any </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  height=50 align="left" Valign=TOP >6. Is anyone else at your home vomiting? Were you exposed to food that may have been contaminated or have you eaten out? </td>
            <td  align="left" Valign=TOP >Yes to either</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=37 align="left" Valign=TOP >7. Have you consumed any alcohol in the last 24 hours?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >No</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >8. When was your first date of your last menstrual cycle? Is there a chance you could be pregnant?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=59 align="left" Valign=TOP >9. Do you have any other serious or chronic medical conditions (diabetes, kidney stones, cancer, current infection, history of hernia or abdominal surgery)?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >10. Are you taking any of these medications: narcotics, aspirin/analgesics, digitalis, iron, steroids, antibiotics, chemotherapy?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign=MIDDLE ><br></td>
            <td align="left" Valign=MIDDLE ><br></td>
            <td  class="right" align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign=MIDDLE ><br></td>
            <td align="left" Valign=MIDDLE ><br></td>
            <td  class="right" align="left" Valign=MIDDLE ><br></td>
        </tr>
        <tr>
            <td   class="bottom" height=191 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for nausea and vomiting+A11</B></td>
            <td   class="bottom" align="left" Valign=TOP >Give nothing by mouth for about 1 hour after a vomiting episode. After that, take clear fluids such as water, Electral, or coconut water. <br>Watch how much your urine you are passing - if you are not passing any urine for over 6 hours, give us a call back.<br>The next day, if there has been no vomiting in 12 hours, the patient may have toast or dry biscuits, and clear soup and then gradually return to a normal diet. <br>Babies can be started on the BRAT diet (banana, dry rice cereal mixed with water, apple sauce and dry toast).</td>
            <td  class="right bottom" align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
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<!--        <a name="table34"><h1>Sheet 35: <em>Wheezing</em></h1></a>-->
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    <COLGROUP><COL width=563><COL width=536><COL width=85></COLGROUP>
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            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table34"><h1>Sheet 35: <em>Wheezing</em></h1></a>
            <td class="right" >
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=563 height="23" align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Wheezing</B></td>
            <td width=536 align="left" Valign="middle"><br></td>
            <td  class="right" width=85 align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE ><B>Question </B></td>
            <td  align="left" Valign=MIDDLE ><B>To See Clinician If……</B></td>
            <td  class="right"  align="left" Valign=MIDDLE ><B>When </B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, age, telephone number </td>
            <td  align="left" Valign=TOP ><br></td>
            <td  class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=4 height=102 align="left" Valign=TOP >2. How severe is your wheezing or shortness of breath?</td>
            <td  align="left" Valign=TOP >Very severe (constant difficulty with all activities)</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Severe (difficulties with most activities)</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Moderate (difficulties with some daily activities)</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Mild (intermittent symptoms or mild symptoms and no limitation of daily activities)</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=3 height=63 align="left" Valign=TOP >3. How quickly do you feel that your wheezing is worsening?</td>
            <td  align="left" Valign=TOP >Very quickly (worse over last 24 hours)</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Quickly (worse over last 24 to 72 hours)</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Slowly (worse over last several days)</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=2 height=42 align="left" Valign=TOP >4. How long has this episode of wheezing been going on?</td>
            <td  align="left" Valign=TOP >Less than 1 week </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >More than 1 week</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=2 height=42 align="left" Valign=TOP >5. Have you had trouble with your lungs in the last 6 months for which you had to be admitted?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >No </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >6. Do you have a fever and a cough (with or without phlegm)?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >No</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  ROWSPAN=3 height=63 align="left" Valign=TOP >7. Does your wheezing come and go?</td>
            <td  align="left" Valign=TOP >No, constant symptoms </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Frequent episodes (1 to 2 per week)</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  align="left" Valign=TOP >Occasional episodes (1 to 2 per month)</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign="middle"><br></td>
            <td align="left" Valign="middle"><br></td>
            <td align="left" Valign="middle"><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=96 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B>Script for wheezing</B></td>
            <td   class="bottom" align="left" Valign="middle">Do you have an inhaler? If have one and know how to use it, take 2 puffs of salbutamol now.<br>If your symptoms haven't improved within half an hour, take 2 more puffs and call us back right away. You may need treatment at a hospital or clinic.</td>
            <td class="right bottom"  align="left" Valign="middle"><br></td>
        </tr>
    </tbody>
</table>
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<!--        <a name="table35"><h1>Sheet 36: <em>Wound</em></h1></a>-->
<table frame="void" cellspacing="0" cols="3" rules="none" border="0" class="data-info">
    <COLGROUP><COL width=533><COL width=495><COL width=80></COLGROUP>
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            <td  colspan="2" width="555" height="23" align="left" Valign="middle" style="borde:none;">
                <a name="table35"><h1>Sheet 36: <em>Wound</em></h1></a>
            <td class="right" >
                <a href="" style=""><< Back</a>
            </td>
        </tr>
        <tr>
            <td width=533 height="23" align="left" Valign="middle"><B><FONT SIZE=4 COLOR="#000000">Wounds</B></td>
            <td width=495 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
            <td  class="right" width=80 align="left" Valign="middle"><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=MIDDLE ><B>Question </B></td>
            <td  align="left" Valign=MIDDLE ><B>To See Clinician If……</B></td>
            <td  class="right"  align="left" Valign=MIDDLE ><B>When </B></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >1.Patient’s name, age, telephone number </td>
            <td  align="left" Valign=TOP ><br></td>
            <td  class="right"  align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >2. Is the wound bleeding now? </td>
            <td  align="left" Valign=TOP ><FONT COLOR="#000000">Yes - refer advice below</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >3. Has the bleeding stopped with applying pressure?</td>
            <td  align="left" Valign=TOP >Yes </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >No</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >4. How did the wound occur - type of wound?</td>
            <td  align="left" Valign=TOP >Crushing of tissues</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FF0000" ><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >Laceration</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >Puncture - dispo depends on location</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP ><br></td>
            <td  align="left" Valign=TOP >Abrasion</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#92D050" ><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >5. Where is the wound?</td>
            <td  align="left" Valign=TOP >Face, genitalia, chest, abdomen, over a joint.</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=21 align="left" Valign=TOP >6. Is the wound dirty or contaminated?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >7. How long or deep is the wound? Is the wound is longer than 1 inch, or deeper than 0.5 inch?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >8. Is any foreign body visible in the wound, or is a foreign body possible?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=59 align="left" Valign=TOP >9. Are there any signs of infection in the area, such as redness, swelling, red streaks extending from the wound, discharge or pus draining from the wound?</td>
            <td  align="left" Valign=TOP >Yes, any of these </td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=59 align="left" Valign=TOP >10. Are you taking any antiplatelet agents or blood thinners (aspirin, clopidogrel, warfarin or coumadin)? Do you have anemia, hemophilia, or diabetes?</td>
            <td  align="left" Valign=TOP >Yes</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td  height=40 align="left" Valign=TOP >11. When was your last tetanus immunization?</td>
            <td  align="left" Valign=TOP >More than 5 years, or if a child and has not completed the primary series.</td>
            <td  class="right"  align="left" Valign=TOP BGCOLOR="#FFC000" ><br></td>
        </tr>
        <tr>
            <td height=20 align="left" Valign=TOP ><br></td>
            <td align="left" Valign=TOP ><br></td>
            <td  class="right" align="left" Valign=TOP ><br></td>
        </tr>
        <tr>
            <td  height=96 align=CENTER Valign=MIDDLE BGCOLOR="#FF0000" ><B>Script for bleeding</B></td>
            <td  align="left" Valign=TOP >Put continuous pressure on the wound with a clean cloth for at least 10 minutes. Do not remove the cloth even if soaked - add another cloth and continue pressure. DO NOT remove the cloth to check if the bleeding has stopped. Keep the area that is bleeding at a higher level if possible.</td>
            <td  class="right" align="left" Valign=TOP ><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  height=59 align=CENTER Valign=MIDDLE BGCOLOR="#FFC000" ><B><FONT COLOR="#000000">Script for foreign body</B></td>
            <td  align="left" Valign=TOP >If there is a foreign body stuck in the wound or visible in the wound, do not attempt to remove it. Go to a doctor immediately.</td>
            <td class="right"  align="left" Valign=TOP ><FONT COLOR="#000000"><br></td>
        </tr>
        <tr>
            <td  class="bottom"  height=127 align=CENTER Valign=MIDDLE BGCOLOR="#92D050" ><B><FONT COLOR="#000000">Script for uncomplicated wound</B></td>
            <td   class="bottom" align="left" Valign=TOP ><FONT COLOR="#000000">Ask to take TT injection.<br>Flush the wound with tap water. If the area cannot be put under the faucet, flush by pouring water over the area. Use soap to clean out the wound.<br>Apply antiseptic ointment (betadine). Inspect daily for any signs of infection, such as redness, warmth, swelling, or drainage. If these signs appear, call back immediately.  </td>
            <td  class="right bottom" align="left" Valign=TOP ><FONT COLOR="#000000"><br></td>
        </tr>
    </tbody>
</table>
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